Ivy Creek of Elmore, LLC
Ivy Creek of Elmore, LLC is a Preferred Provider Organization in Wetumpka, Alabama. Licensed in Alabama. Registered with an NPI since 2007.
- Licensed in
- AL
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
74186 Tallassee HwyWetumpka, AL 36092-5643
Phone: (334) 567-0346
Fax: (334) 567-0855
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 00011939 (AL) |
|---|
Record details
| NPI number | 1093838880 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gordon Faulk — Ceo · (334) 567-4311 |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 500 Hospital Dr, Wetumpka, AL 36092-1625 |