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Contact Information

IVY CREEK OF ELMORE, LLC
500 HOSPITAL DR STE C
WETUMPKA, AL36092-1625
 Phone: 334-567-4311
 Fax: 334-514-3686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for IVY CREEK OF ELMORE LLC · (Female)

NPI # 1679204838
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2022
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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