Organization
IVY CREEK HOME HEALTH OF ELMORE, LLC
Active
Other names
IVY CREEK HOME HEALTH OF ELMORE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRINE KAY BRYAN LPN (DIRECTOR)
(334) 567-7710
Entity
Organization
Contact information
Practice address
500 HOSPITAL DRIVE, WETUMPKA, AL 36092-1625
(334) 567-7710
(334) 567-3227
Mailing address
PO BOX 130, WETUMPKA, AL 36092-0003
(334) 567-7710
(334) 567-3227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ELM7116A
—
AL
Enumeration date
06/05/2007
Last updated
09/25/2025
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