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AMMA Health Care Clinic, LLC

Details

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

National Provider Identifier

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

Contacts

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

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Agent

Name Role
ISMAIL, YOUNUS M Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State