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Wiregrass Therapy Associates LLC

Details

Name: Wiregrass Therapy Associates LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Jan 2014 (11 years ago)
Entity Number: 000-294-802
Register Number: 000294802
Historical Names: Advanced Dysphagia Services, LLC
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 9004 SOUTH PARK AVENUEDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301

Activities PROVIDE CONTRACT/SERVICES THERAPY ASSOCIATED WITH DYSPHAGIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235506726 2015-08-31 2018-11-29 121 HIDDEN GLEN WAY, DOTHAN, AL, 36303, US 121 HIDDEN GLEN WAY, DOTHAN, AL, 36303, US

Contacts

Phone +1 334-446-1425
Fax 3346476458

Authorized person

Name CARI ORGERON
Role OWNER/SPEECH THERAPIST
Phone 3344461425

Taxonomy

Taxonomy Code 261QH0700X - Hearing and Speech Clinic/Center
License Number 3251
State AL
Is Primary Yes

Agent

Name Role Address
ORGERON, CARI Agent 9004 SOUTH PARK AVENUEDOTHAN, AL 36301

Organizer

Name Role Address
ORGERON, CARI Organizer 9004 SOUTH PARK AVENUEDOTHAN, AL 36301

Events

Event Date Event Type Old Value New Value
2018-09-06 Name Change Advanced Dysphagia Services, LLC Wiregrass Therapy Associates LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State