MEDICARE: MANELLA MEOSHA BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1528864311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANELLA MEOSHA BROWN

Provider Business Mailing Address
First Line	:	5408 13TH ST S
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35020-3019
Country	:	US
Telephone Number	:	205-400-5741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 GADSDEN HWY STE 116
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3111
Country	:	US
Telephone Number	:	205-400-5741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2025
Last Update Date	:	02/21/2025

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Directions to “ MANELLA MEOSHA BROWN ” Practice Location

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