IVY CREEK OF ELMORE, LLC is a rural health clinic center in Tallassee, AL. IVY CREEK OF ELMORE, LLC NPI is 1558868323. The provider is registered as an organization entity type.
The provider Is Doing Business As Ivy Creek Family Care Of Tallassee.
The provider's business location address is:
2256 GILMER AVE
TALLASSEE, AL
ZIP 36078-114
Phone: (334) 283-2542
The provider's authorized official is Michael D Bruce .
The authorized official title is Ceo and has the following contact phone number (334) 567-4311.
The CLIA number assigned to this NPI record is 01D2118261 - rural health clinic with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/5/2022.