Ivy Creek of Tallapoosa LLC
NPI #1225211709 in Dadeville, Alabama
Provider Information
- NPI Number
- 1225211709
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Tallapoosa LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 7, 2007
- Last Updated
- Apr 5, 2022
Practice Location
Authorized Official
- Name
- MRS. PAM TIDWELL, RN
- Title
- HOME HEALTH DIRECTOR
- Phone
- (256) 397-1440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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