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
Authorized Official
- Name
- MICHAEL D BRUCE
- Title
- CEO
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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