Ivydale at Willow Lodge
Ivydale at Willow Lodge is an Assisted Living Facility in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2015.
- Licensed in
- GA
- In the registry since
- 2015
Practice location Address checks out
3120 S Main StMoultrie, GA 31768-6702
Phone: (229) 668-4721
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence PCH008684 (GA) |
|---|
Record details
| NPI number | 1750766507 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geni Akridge — Administrator · (229) 668-4721 |
| NPI enumerated | July 22, 2015 |
| Last updated in NPPES | July 22, 2015 |
| Mailing address | 3120 S Main St, Moultrie, GA 31768-6702 |
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