| Name: | TAKL Corporation |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 03 Feb 2004 (21 years ago) |
| Date of dissolution: | 11 Apr 2023 |
| Entity Number: | 000-233-441 |
| Register Number: | 000233441 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | ELBERTA, AL |
| Registered Office Street Address: | 24893-B STATE STELBERTA, AL 36530 |
| Registered Office Street Address ZIP Code: | 36530 |
| Authorized Capital: | $900 |
Activities
FURNISH TANNING/MANAGEMENT SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033162862 | 2006-05-19 | 2012-09-04 | 24980 STATE ST, STE 4, ELBERTA, AL, 365302573, US | 24980 STATE ST, STE 4, ELBERTA, AL, 365302573, US | |||||||||||||||||||||
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| Phone | +1 251-986-7747 |
| Fax | 2519867748 |
Authorized person
| Name | MS. LEAH BROOKE KOONTZ |
| Role | OWNER |
| Phone | 2519867747 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009964545 |
| State | AL |
| Name | Role |
|---|---|
| KOONTZ, LEAH B | Agent |
| Name | Role |
|---|---|
| KOONTZ, LEAH B | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
