ProviderBusinessMailingAddressFaxNumber = '3345146747'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1316246812
IVY CREEK OF ELMORE LLC
PO BOX 130
WETUMPKA
AL
360920003
1528378197
IVY CREEK MEDICAL EQUIPMENT, LLC
13 CAMBRIDGE COURT
WETUMPKA
AL
36093
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