| Name: | Tri County Home Medical Equipment, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jul 2000 (24 years ago) |
| Entity Number: | 000-602-529 |
| Register Number: | 000602529 |
| County: | Autauga |
| Place of Formation: | Tennessee |
| Registered Office Street Address: | 110 LINA DRPRATTVILLE, AL 36067 |
| Registered Office Street Address ZIP Code: | 36067 |
| Principal Address: | 1164 VICKERY LANE STE 102CORDOVA, TN 38018 |
Activities
SALES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346294501 | 2006-05-20 | 2008-06-20 | PO BOX 2597, CORDOVA, TN, 380882597, US | 2222 E SOUTH BLVD, MONTGOMERY, AL, 361162405, US | |||||||||||||||||||||||||
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| Phone | +1 901-507-2561 |
| Fax | 9015072569 |
| Phone | +1 334-288-1003 |
| Fax | 3342881220 |
Authorized person
| Name | MR. DAVID LEE BOWMAN |
| Role | CHIEF MANAGER |
| Phone | 9015072561 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009903525 |
| State | AL |
| Name | Role |
|---|---|
| HURST, JASON | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
