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Organization

IVY CREEK OF TALLAPOOSA

Active
Other names
LAKE MARTIN COMMUNITY HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLINE MORRIS (BUSINESS OFFICE MANAGER)
(256) 825-7821
Entity
Organization

Contact information

Practice address
201 MARIARDEN RD, DADEVILLE, AL 36853-6244
(256) 825-7821
Mailing address
201 MARIARDEN ROAD, DADEVILLE, AL 36853-6244

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0712
AL

Other

Enumeration date
03/31/2008
Last updated
04/05/2022
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