MEDICARE: THREE SONS HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093357774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE SONS HOME CARE LLC

Provider Business Mailing Address
First Line	:	324 COMMONS DR STE 6
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 COMMONS DR STE 6
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6962
Country	:	US
Telephone Number	:	678-234-2320
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL TAFT BROWN
Credential	:
Telephone Number	:	678-234-2320

Provider Enumeration Date	:	10/14/2019
Last Update Date	:	10/14/2019

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