institution
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.

Location: 301 Mariarden Rd, Dadeville, AL, 36853-6254
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
State
Zip
36853-6254
Phone Number
256-825-7050
Fax Number
256-825-7068
person
Provider Business Mailing Address Details
Address
301 Mariarden Rd
City
State
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
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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