Provider Demographics
NPI:1922370550
Name:TENNESSEE VALLEY HEARING SERVICES LLC
Entity Type:Organization
Organization Name:TENNESSEE VALLEY HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOMER
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOLOGIST
Authorized Official - Phone:256-764-2667
Mailing Address - Street 1:2415 HELTON DR
Mailing Address - Street 2:B
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1000
Mailing Address - Country:US
Mailing Address - Phone:256-764-2667
Mailing Address - Fax:256-766-8002
Practice Address - Street 1:2415 HELTON DR
Practice Address - Street 2:B
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1000
Practice Address - Country:US
Practice Address - Phone:256-764-2667
Practice Address - Fax:256-766-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL617A261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech