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Organization

TAMED MANE LLC

Active
Parent organization
TAMED MANE LLC
Other names
Tamed Mane LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAMED MANE LLC
Authorized official
LATOYA L WHITE LPN-CPS (LPN/ OWNER)
(205) 585-0086
Entity
Organization

Contact information

Practice address
1636 N BROWNLEE ST, BIRMINGHAM, AL 35207-1100
(205) 585-0086
Mailing address
PO BOX 280, FULTONDALE, AL 35068-0280
(205) 585-0086

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
11/17/2023
Last updated
11/17/2023
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