Provider Demographics
NPI:1679147771
Name:IVY GABLES LTD LLC
Entity type:Organization
Organization Name:IVY GABLES LTD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:IVES
Authorized Official - Last Name:YOHAY
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:302-475-9400
Mailing Address - Street 1:2210 SWISS LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4241
Mailing Address - Country:US
Mailing Address - Phone:302-475-9400
Mailing Address - Fax:302-475-0821
Practice Address - Street 1:2210 SWISS LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4241
Practice Address - Country:US
Practice Address - Phone:302-475-9400
Practice Address - Fax:302-475-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility