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Health Support Services, Inc.

Details

Name: Health Support Services, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 20 Jun 1996 (28 years ago)
Date of dissolution: 30 Dec 2014
Entity Number: 000-180-520
Register Number: 000180520
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 99 HILLWOOD RDMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Registered Office Mailing Address: PO BOX 8122MOBILE, AL 36608
Registered Office Mailing Address ZIP Code: 36608
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities MEDICAL/HEALTH CARE SUPPORT SVCS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033135231 2006-07-14 2007-11-29 7101 HIGHWAY 90, SUITE 204, DAPHNE, AL, 36526, US 7101 HIGHWAY 90, SUITE 204, DAPHNE, AL, 36526, US

Contacts

Phone +1 251-625-8260
Fax 2516258264

Authorized person

Name RAYMOND D A PETERSON
Role OWNER PHYSICIAN
Phone 2516258260

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role
PETERSON, RAYMOND D A Agent

Incorporator

Name Role
PETERSON, RAYMOND D A Incorporator
DRISCOLL, INGRID Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State