| Name: | Ivy Creek Family Care of Troy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Sep 2019 (5 years ago) (Companies founded in September 2019) |
| Entity Number: | 000-586-462 |
| Register Number: | 000586462 |
| ZIP code: | 36079 (Companies in Pike, 36079) |
| County: | Pike |
| Place of Formation: | Pike County |
| Registered Office Mailing Address: | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| Registered Office Street Address: | 101 HUNTERS MOUNTAIN PARKWAYTROY, AL 36079 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568018661 | 2019-08-14 | 2020-02-21 | 101 HUNTERS MOUNTAIN PARKWAY, TROY, AL, 36081, US | 101 HUNTERS MOUNTAIN PARKWAY, TROY, AL, 36081, US | |||||||||||||||||||
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| Phone | +1 334-465-7056 |
| Fax | 8336960057 |
| Phone | +1 334-347-2027 |
| Fax | 3343472299 |
Authorized person
| Name | TERESA H LANGFORD |
| Role | REVENUE & COMPLIANCE MANAGER |
| Phone | 3345143848 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRUCE, TANYA L | Agent |
| Name | Role | Address |
|---|---|---|
| BRUCE, TANYA | Organizer | 101 HUNTERS MOUNTAIN PARKWAYTROY, AL 36079 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
