- Facility Name
- IVYDALE AT WILLOW LODGE
- Type / Classification
- Assisted Living Facility
- Address
- 3120 S MAIN ST, MOULTRIE, GA 31768
- Phone Number
- (229) 668-4721
- NPI Number
- 1750766507
- Authorized Official
- GENI AKRIDGE (Administrator)
- Enumeration Date
- 2015-07-22