Ivycreek of Elmore LLC
NPI #1205034428 in Wetumpka, Alabama
Provider Information
- NPI Number
- 1205034428
- Entity Type
- Organization
- Organization Name
- Ivycreek of Elmore LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVYCREEK OF ELMORE LLC
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Apr 5, 2022
Practice Location
Authorized Official
- Name
- MICHAEL D BRUCE
- Title
- CEO
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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