Healthcare Provider Details

I. General information

NPI: 1497074256
Provider Name (Legal Business Name): TLC HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 FULTON AVE
BIRMINGHAM AL
35217-3043
US

IV. Provider business mailing address

810 FULTON AVE
BIRMINGHAM AL
35217-3043
US

V. Phone/Fax

Practice location:
  • Phone: 205-834-8519
  • Fax: 205-834-8519
Mailing address:
  • Phone: 205-834-8519
  • Fax: 205-834-8519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number10014817
License Number StateAL

VIII. Authorized Official

Name: MISS TRACIE DENISE HUFFMAN
Title or Position: OWNER
Credential:
Phone: 205-834-8519