IVY CREEK OF TALLAPOOSA, LLC

DADEVILLE, AL
NPI1598783904
Doing Business AsLAKE MARTIN COMMUNITY HOSPITAL
Entity TypeOrganization
Authorized ContactMICHAEL D BRUCE
CEO
334-567-4311
Organization Subpart ?No
Primary Taxonomy282NR1301X General Acute Care Hospital, Rural
(Licence: AL  11872)
Enumeration Date2006-07-17
Last Update Date2022-04-05
Business Address
IVY CREEK OF TALLAPOOSA, LLC
201 MARIARDEN RD
DADEVILLE, AL 36853-6244
Phone number: 256-825-7821
Mailing Address
IVY CREEK OF TALLAPOOSA, LLC
201 MARIARDEN RD P.O BOX 629
DADEVILLE, AL 36853-6244
Phone number: 256-825-7821
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