| Name: | Ivy Creek Palliative Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-757-644 |
| Register Number: | 000757644 |
| ZIP code: | 36092 (Companies in Elmore, 36092) |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 500 Hospital DriveWetumpka, AL 36092 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639776420 | 2020-10-05 | 2020-10-05 | PO BOX 130, WETUMPKA, AL, 360920003, US | 525 HOSPITAL DR STE B, WETUMPKA, AL, 360921626, US | |||||||||||||
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| Phone | +1 334-567-5626 |
Authorized person
| Name | MICHAEL D BRUCE |
| Role | CEO |
| Phone | 3345674311 |
Taxonomy
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Bruce, Michael Bruce | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
