| Name: | Health Care for Life AL, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2012 (13 years ago) (Companies founded in May 2012) |
| Entity Number: | 000-034-849 |
| Register Number: | 000034849 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 15255 HWY 43 STE 3RUSSELLVILLE, AL 35653-1924 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265794598 | 2012-06-12 | 2013-06-10 | PO BOX 335, RUSSELLVILLE, AL, 356530335, US | 523 GANDY ST NE, STE A, RUSSELLVILLE, AL, 356531961, US | |||||||||||||||||||||||||
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| Phone | +1 205-208-9955 |
| Fax | 2563325403 |
Authorized person
| Name | DR. STUART M GREENBERG |
| Role | PARTNER/MANAGING MEMBER |
| Phone | 2563241918 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142739 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
