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Thomas Family Health and Wellness Clinic, LLC

Details

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) (Companies founded in May 2014)
Entity Number: 000-311-232
Register Number: 000311232
ZIP code: 36526 (Companies in Baldwin, 36526)
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 28119 N MAIN STREET UNIT BDAPHNE, AL 36526

Activities PRACTICE OF MEDICINE

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
THOMAS, VANESSA Agent 28119 N MAIN STREET UNIT BDAPHNE, AL 36526

Organizer

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