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Ivy Creek Of Tallapoosa Llc
Home Health Agency in Dadeville, Alabama
NPI 1225211709

Ivy Creek Of Tallapoosa Llc is a Home Health Agency based in Dadeville, AL. Ivy Creek Of Tallapoosa Llc practices in Dadeville, AL. The NPI Number for Ivy Creek Of Tallapoosa Llc is 1225211709 and holds a License No. 017117 (Alabama).

The current practice location address for Ivy Creek Of Tallapoosa Llc is 301 Mariarden Rd, Dadeville, AL and can be reached out via phone at 256-825-7050 and via fax at 256-825-7068. You can also correspond with Ivy Creek Of Tallapoosa Llc through the mailing address at 301 MARIARDEN RD, DADEVILLE, AL - 36853-6254 (mailing address contact number: 256-825-7050).

Location: 301 Mariarden Rd, Dadeville, AL, 36853-6254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225211709
Provider Name
Ivy Creek Of Tallapoosa Llc
Credential
Provider Entity Type
Organization
Address
301 Mariarden Rd, Dadeville, AL, 36853-6254
Phone Number
256-825-7050
Fax Number
256-825-7068
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LAK7117A 05 AL
institution
Provider Business Practice Location Address Details
Address
301 Mariarden Rd
City
Dadeville
State
Alabama
Zip
36853-6254
Phone Number
256-825-7050
Fax Number
256-825-7068
person
Provider Business Mailing Address Details
Address
301 Mariarden Rd
City
Dadeville
State
Alabama
Zip
36853-6254
Phone Number
256-825-7050
Fax Number
256-825-7068
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
017117 (Alabama)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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