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Medical Nutrition Services, LLC

Details

Name: Medical Nutrition Services, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 15 Mar 2013 (12 years ago)
Entity Number: 000-072-551
Register Number: 000072551
County: Baldwin
Place of Formation: Delaware
Principal Address: 24400 PERDIDO BEACH BLVD STE 016ORANGE BEACH, AL 36561
Principal Address ZIP Code: 36561

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659711059 2013-06-28 2013-07-24 24400 PERDIDO BEACH BLVD, SUITE #016, ORANGE BEACH, AL, 365616072, US 24400 PERDIDO BEACH BLVD, SUITE #016, ORANGE BEACH, AL, 365616072, US

Contacts

Phone +1 251-622-5881

Authorized person

Name CATHERINE VIRGINIA MOORE
Role VICE-PRESIDENT
Phone 2259533100

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
Is Primary Yes

Agent

Name Role Address
MOORE, CHARLES A Agent 24400 PERDIDO BEACH BLVD #016ORANGE BEACH, AL 36561

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State