Ivy Creek Of Tallapoosa Llc

NPI 1225211709 - Home Health - 251E00000X

NPI Details
NPI 1225211709
Enumeration Date 12/07/2007
Last Updated 01/17/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PAM PAM
Position HOME HEALTH DIRECTOR
Phone (256) 825-7050
Fax (256) 825-7068
Practice Location
301 MARIARDEN RD
SUITE F
DADEVILLE AL, 36853-6254, US
Phone (256) 825-7050
Fax (256) 825-7068
Business Location
301 MARIARDEN RD
SUITE F
DADEVILLE AL, 36853-6254, US
Phone (256) 825-7050
Fax (256) 825-7068
Toxanomy
Taxonomy Code 251E00000X
License State Alabama
License Number 017117
Remove 1225211709 NPI Number
 

According to our database, Ivy Creek Of Tallapoosa Llc NPI is 1225211709, taxonomy code is 251E00000X and license number is 017117, license state is located at Alabama. Ivy Creek Of Tallapoosa Llc physically located at 301 Mariarden Rd, Dadeville AL, 36853-6254. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225211709 NPI number is provided on an as is basis without warranty of any kind. 1225211709 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy Creek Of Tallapoosa Llc are for informational purposes only.