Home » Alabama » 36033 » Ivy Creek Of Butler Llc

Ivy Creek Of Butler Llc

Ivy Creek Of Butler Llc is a health care provider in Georgiana, AL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 435 Meeting Ave., Georgiana, AL 36033, US
Practice Location Phone334-376-2286
Practice Location Fax334-376-3661
Legal Business NameIVY CREEK OF BUTLER LLC
Other Organization NameRELIABLE HOME HEALTH
Other Organization Name TypeDoing Business As Name
NPI ?1124161054
Entity TypeOrganization
Enumeration Date ? Feb 14, 2007
Last Update Date ? Mar 25, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ivy Creek Of Butler Llc

SpecialtySpecializationLicenseLicense State
Home Health 11769Alabama

legacy-id-icon Legacy Provider IDs of Ivy Creek Of Butler Llc

Provider IdIssuer StateIssuer TypeIssuer
REL7136AAlabamaMedicaid

official-icon Authorized Official of Ivy Creek Of Butler Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ivy Creek Of Butler Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Michael D Bruce
Authorized Official Title/PositionCEO
Authorized Official Phone Number334-376-2963