Ivy Creek of Butler, Llc.
NPI #1245372168 in Georgiana, Alabama
Provider Information
- NPI Number
- 1245372168
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Butler, Llc.
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jun 25, 2019
Practice Location
Authorized Official
- Name
- DAVID GLENN WILCOX, CPA (INACTIVE)
- Title
- CFO
- Phone
- (334) 383-2423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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