MEDICARE: FOCUS ON SENIOR CITIZENS OF TUSCALOOSA COUNTY, INC.

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1780101881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS ON SENIOR CITIZENS OF TUSCALOOSA COUNTY, INC.

Provider Business Mailing Address
First Line	:	3801 LOOP RD
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35404-5040
Country	:	US
Telephone Number	:	205-554-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 LOOP RD
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35404-5040
Country	:	US
Telephone Number	:	205-554-1919
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MORGAN MANN
Credential	:	CPA
Telephone Number	:	205-554-1919

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	07/21/2022

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