| Name: | Specialists of Enterprise, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Nov 1996 (28 years ago) (Companies founded in November 1996) |
| Entity Number: | 000-183-461 |
| Register Number: | 000183461 |
| ZIP code: | 36330 (Companies in Coffee, 36330) |
| County: | Coffee |
| Place of Formation: | Coffee County |
| Principal Address: | ENTERPRISE, AL |
| Registered Office Street Address: | 705 BOLLWEEVIL PLAZA STE 4ENTERPRISE, AL 36330 |
| Authorized Capital: | $1,000 |
Activities
SELL AND RENT DURABLE MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568494219 | 2006-07-06 | 2024-01-10 | PO BOX 311621, ENTERPRISE, AL, 363311621, US | 204 E BRUNSON ST, ENTERPRISE, AL, 363301922, US | |||||||||||||||||||||||||||
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| Phone | +1 334-393-2495 |
| Fax | 8663473894 |
| Fax | 3343473894 |
Authorized person
| Name | JOHN BOWDEN |
| Role | PRESIDENT |
| Phone | 3343932495 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 546 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009605670 |
| State | AL |
| Name | Role |
|---|---|
| BOWDEN, JOHN O | Agent |
| Name | Role |
|---|---|
| HELMS, TIFFANY | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
