Organization
IVY CREEK PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D BRUCE CEO (CEO)
(334) 567-4311
Entity
Organization
Contact information
Practice address
525 HOSPITAL DR STE B, WETUMPKA, AL 36092-1626
(334) 567-5626
Mailing address
PO BOX 130, WETUMPKA, AL 36092-0003
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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