Ivy Creek Medical Equipment, LLC

NPI #1528378197 in Dadeville, Alabama

Provider Information

NPI Number: 1528378197
Entity Type: Organization
Organization Name: Ivy Creek Medical Equipment, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 18, 2010
Last Updated: Oct 18, 2010

Practice Location

Address: 201 MARIARDEN ROAD
City: Dadeville
State: Alabama
ZIP Code: 36853
Phone: (256) 825-0677

Authorized Official

Name: MS. FELICIA MCMILLAN
Title: OFFICE MANAGER
Phone: (334) 514-3715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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