Name: | AMMA Health Care Clinic, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 02 Oct 2012 (12 years ago) |
Entity Number: | 000-268-197 |
Register Number: | 000268197 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | 2903 DAVENPORT DRIVEHAMPTON COVE, AL 35763 |
Principal Address ZIP Code: | 35763 |
Principal Mailing Address: | 2903 DAVENPORT DRIVEHAMPTON CROVE, AL 35763 |
Principal Mailing Address ZIP Code: | 35763 |
Activities
HEALTH CARES SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124379839 | 2012-09-21 | 2012-09-21 | PO BOX 278, SCOTTSBORO, AL, 357680278, US | 302 MAIN ST S, SECTION, AL, 357717006, US | |||||||||||||||||||
|
Phone | +1 256-259-3778 |
Fax | 2562593759 |
Authorized person
Name | DR. YOUNUS M ISMAIL |
Role | PRESIDENT |
Phone | 2562593778 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 22123 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Name | Role |
---|---|
ISMAIL, YOUNUS M | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State