IC
IVY CREEK OF TALLAPOOSA LLC
Home Health Agency
OIG CLEARNPI VERIFIED
Location
DADEVILLE, AL
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1225211709
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2024-07-31
Authorized official
NamePAM TIDWELL
TitleHOME HEALTH DIRECTOR
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