Ivy Creek of Elmore LLC

NPI #1316246812 in Wetumpka, Alabama

Provider Information

NPI Number
1316246812
Entity Type
Organization
Organization Name
Ivy Creek of Elmore LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Mar 23, 2011
Last Updated
Apr 5, 2022

Practice Location

Address
815 JACKSON TRACE RD
State
Alabama
ZIP Code
36092-1504
Phone
(334) 567-2882

Authorized Official

Name
MICHAEL D BRUCE
Title
CEO
Phone
(334) 567-4311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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