Provider Demographics
NPI:1477320950
Name:IVORY INC
Entity Type:Organization
Organization Name:IVORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:OWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-463-1903
Mailing Address - Street 1:7310 RITCHIE HWY STE 309
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3065
Mailing Address - Country:US
Mailing Address - Phone:443-305-2779
Mailing Address - Fax:410-497-1118
Practice Address - Street 1:7310 RITCHIE HWY STE 309
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3065
Practice Address - Country:US
Practice Address - Phone:443-305-2779
Practice Address - Fax:410-497-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care