Organization
IVY CREEK MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA MCMILLAN (OFFICE MANAGER)
(334) 514-3715
Entity
Organization
Contact information
Practice address
201 MARIARDEN ROAD, DADEVILLE, AL 36853
(256) 825-0677
(256) 827-0803
Mailing address
13 CAMBRIDGE COURT, WETUMPKA, AL 36093
(334) 514-3715
(334) 514-6747
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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