Ivy Creek of Tallapoosa LLC
Ivy Creek of Tallapoosa LLC is a Home Health Agency in Dadeville, 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
301 Mariarden Rd Ste FDadeville, AL 36853-6254
Phone: (256) 825-7050
Fax: (256) 825-7068
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
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 017117 (AL) |
|---|
Record details
| NPI number | 1225211709 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pam Tidwell — Home Health Director · (256) 397-1440 |
| Other names | Lake Martin Home Health |
| NPI enumerated | December 7, 2007 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | 301 Mariarden Rd, Suite F, Dadeville, AL 36853-6254 |