Provider Demographics
NPI:1942075056
Name:TAMED MANE LLC
Entity Type:Organization
Organization Name:TAMED MANE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN-CPS
Authorized Official - Phone:205-585-0086
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:FULTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35068-0280
Mailing Address - Country:US
Mailing Address - Phone:205-585-0086
Mailing Address - Fax:
Practice Address - Street 1:1636 N BROWNLEE ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35207-1100
Practice Address - Country:US
Practice Address - Phone:205-585-0086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAMED MANE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty