MEDICARE: TOMMY L PALMER

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710791116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMMY L PALMER

Provider Business Mailing Address
First Line	:	PO BOX 11422
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85734-1422
Country	:	US
Telephone Number	:	520-820-2690
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 11422
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85734-1422
Country	:	US
Telephone Number	:	520-820-2690
Fax Number	:

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

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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Directions to “ TOMMY L PALMER ” Practice Location

Language	Start Address	Practice Location

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