Ivy Creek of Tallapoosa LLC

NPI #1932130002 in Dadeville, Alabama

Provider Information

NPI Number
1932130002
Entity Type
Organization
Organization Name
Ivy Creek of Tallapoosa LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 6, 2006
Last Updated
Apr 5, 2022

Practice Location

Address
301 MARIARDEN RD
State
Alabama
ZIP Code
36853-0129
Phone
(256) 825-7871

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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