IVY CREEK OF TALLAPOOSA LLC

DADEVILLE, AL
NPI1659685345
Doing Business AsLAKE MARTIN COMMUNITY HOSPITAL
Entity TypeOrganization
Authorized ContactMICHAEL BRUCE
Owner/CEO
256-825-7821
Organization Subpart ?Yes
Primary Taxonomy275N00000X Medicare Defined Swing Bed Unit
(Licence: AL  H6202)
Enumeration Date2010-08-05
Last Update Date2020-08-21
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
DADEVILLE, AL 36853-6244
Phone number: 256-825-7821