Ivy Creek of Tallapoosa LLC
NPI #1659685345 in Dadeville, Alabama
Provider Information
- NPI Number
- 1659685345
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Tallapoosa LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVY CREEK OF TALLAPOOSA LLC
- Primary Specialty
- Medicare Defined Swing Bed Unit
- Enumeration Date
- Aug 5, 2010
- Last Updated
- Aug 21, 2020
Practice Location
Authorized Official
- Name
- MR. MICHAEL BRUCE
- Title
- OWNER/CEO
- Phone
- (256) 825-7821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medicare Defined Swing Bed Unit |
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