Ivycreek of Elmore LLC
NPI #1366565152 in Wetumpka, Alabama
Provider Information
- NPI Number
- 1366565152
- Entity Type
- Organization
- Organization Name
- Ivycreek of Elmore LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVYCREEK OF ELMORE LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Oct 1, 2012
Practice Location
Authorized Official
- Name
- MR. MICHAEL D BRUCE
- Title
- CEO
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
| Clinic/Center - Rural Health — Rural Health |
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| Ivy Creek of Elmore LLC |  AI Deep Dive |
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