Organization
PHENOMENAL FAVOR HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENNILLE MARIA LEATHERWOOD LPN (CEO)
(205) 764-8994
Entity
Organization
Contact information
Practice address
7605 MERGANSER PL, TUSCALOOSA, AL 35405-6517
(205) 764-8994
Mailing address
7605 MERGANSER PL, TUSCALOOSA, AL 35405-6517
(205) 764-8994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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