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HealthSource of Mobile 1, LLC

Details

Name: HealthSource of Mobile 1, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Dec 2011 (13 years ago)
Entity Number: 000-035-438
Register Number: 000035438
County: Limestone
Place of Formation: Limestone County
Registered Office Street Address: 16872 LINTON ROADATHEN, AL 35613
Registered Office Street Address ZIP Code: 35613

Activities OPERATE CHIROPRACTIC CLINICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841566205 2012-03-29 2012-04-26 740 SCHILLINGER RD S, STE 2B, MOBILE, AL, 366958931, US 740 SCHILLINGER RD S, STE 2B, MOBILE, AL, 366958931, US

Contacts

Phone +1 251-633-3839
Fax 2516334481

Authorized person

Name MS. QUINN E KENNEDY
Role DC
Phone 2515978832

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2359
State AL
Is Primary Yes

Agent

Name Role Address
MATHIAS, DAVID Agent 16872 LINTON ROADATHENS, AL 35613

Organizer

Name Role Address
MATHIAS, DAVID Organizer 16872 LINTON ROADATHENS, AL 35613

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State