IVY LANE RESIDENCE LLC is an adult care home custodial care facility in Wyoming, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. IVY LANE RESIDENCE LLC NPI is 1679341770. The provider is registered as an organization entity type.
The provider's business location address is:
4897 GRENADIER DR SW
WYOMING, MI
ZIP 49509-021
Phone: (612) 232-5643
The provider's authorized official is Najib Moalin .
The authorized official title is Director and has the following contact phone number (612) 232-5643.
The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.