| Name: | Ladies Health Boutique, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 May 1996 (28 years ago) |
| Entity Number: | 000-180-121 |
| Register Number: | 000180121 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | SUMITON, AL |
| Registered Office Street Address: | 1120 EMPIRE RDSUMITON, AL 35148 |
| Registered Office Street Address ZIP Code: | 35148 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
RETAIL SALES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891939633 | 2009-04-23 | 2010-03-15 | 3608 HYW 118E, JASPER, AL, 35504, US | 3608 HIGHWAY 78 E, JASPER, AL, 355018909, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-221-7157 |
| Fax | 2058225341 |
| Fax | 2052217159 |
Authorized person
| Name | MRS. CAROL S MORGAN |
| Role | PRESIDENT |
| Phone | 2059794377 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009981090 |
| State | AL |
| Issuer | BSBC |
| Number | 51031506 |
| State | AL |
| Name | Role |
|---|---|
| MORGAN, CAROL S | Agent |
| Name | Role |
|---|---|
| PATRENOS, JAMES HIRAM JR | Incorporator |
| MORGAN, CAROL S | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
