Provider Demographics
NPI:1528220415
Name:TBM HOME ASSISTANCE SERVICES LLC
Entity Type:Organization
Organization Name:TBM HOME ASSISTANCE SERVICES LLC
Other - Org Name:VISITING ANGEKS OF EAST CENTRAL ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-763-3030
Mailing Address - Street 1:633 MAGNOLIA STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096
Mailing Address - Country:US
Mailing Address - Phone:205-763-3030
Mailing Address - Fax:
Practice Address - Street 1:633 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-5611
Practice Address - Country:US
Practice Address - Phone:205-763-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health