Organization · Type 2 NPI

Ivy Creek of Tallapoosa LLC

Rural Health Clinic/Center · Dadeville, AL

NPI number 1932130002 Active

About NPI 1932130002

Ivy Creek of Tallapoosa LLC's National Provider Identifier is 1932130002, issued on Jul 6, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dadeville, AL. The record was last updated on Apr 5, 2022.