IVYCREEK OF ELMORE LLC

WETUMPKA, AL
NPI1366565152
Doing Business AsRIVER REGION FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactMICHAEL D BRUCE
CEO
334-567-4311
Organization Subpart ?Yes
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Additional Taxonomies305R00000X Preferred Provider Organization
(Licence: AL  22736)
Enumeration Date2007-04-09
Last Update Date2012-10-01
Business Address
IVYCREEK OF ELMORE LLC
41 CAMBRIDGE CT
WETUMPKA, AL 36093-1261
Phone number: 334-567-3309
Mailing Address
IVYCREEK OF ELMORE LLC
PO BOX 130
WETUMPKA, AL 36092-0003
Phone number: 334-567-4311