IVY CREEK OF ELMORE, LLC; NPI #1679204838

Contact Information

IVY CREEK OF ELMORE, LLC

500 HOSPITAL DR STE C
WETUMPKA, AL 36092-1625

Phone: 334-567-4311
Fax: 334-514-3686
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Wound Care	163WW0000X

Indicates primary specialty

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NPI Profile & details for IVY CREEK OF ELMORE, LLC

NPI #	`1679204838`
LBN Legal business name	IVY CREEK OF ELMORE, LLC
Authorized official	MICHAEL BRUCE - (CEO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	06/20/2022
Last updated	06/20/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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IVY CREEK OF ELMORE, LLC

Contact Information

Specialty

Wound Care

NPI Profile & details for IVY CREEK OF ELMORE, LLC

Reviews for IVY CREEK OF ELMORE, LLC