Name: | Thomas Family Health and Wellness Clinic, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 30 May 2014 (10 years ago) |
Entity Number: | 000-311-232 |
Register Number: | 000311232 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Principal Address: | 28119 N MAIN STREET UNIT BDAPHNE, AL 36526 |
Principal Address ZIP Code: | 36526 |
Activities
PRACTICE OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750799524 | 2014-07-24 | 2014-07-24 | 28119 N MAIN ST, UNIT B, DAPHNE, AL, 365267037, US | 28119 N MAIN ST, UNIT B, DAPHNE, AL, 365267037, US | |||||||||||||||||||
|
Phone | +1 251-621-0640 |
Fax | 2516210680 |
Authorized person
Name | VANESSA THOMAS |
Role | OFFICER/OWNER |
Phone | 2516210640 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | 29849 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
THOMAS, VANESSA | Agent | 28119 N MAIN STREET UNIT BDAPHNE, AL 36526 |
Name | Role | Address |
---|---|---|
THOMAS, VANESSA | Organizer | 28119 N MAIN STREET UNIT BDAPHNE, AL 36526 |
DONALDSON, WILLIAM A | Organizer | 411 ST. FRANCIS ST.MOBILE, AL 36602 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State