| Name: | Prosperous Living, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jul 2014 (10 years ago) (Companies founded in July 2014) |
| Entity Number: | 000-314-373 |
| Register Number: | 000314373 |
| ZIP code: | 35226 (Companies in Jefferson, 35226) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 719 HERITAGE PARK LANEHOOVER, AL 35226 |
Activities
WELLNESS AND REHABILITATION SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336548783 | 2014-08-21 | 2014-08-21 | 719 HERITAGE PARK LN, HOOVER, AL, 352264198, US | 1974 CHANDALAR DR, SUITE D, PELHAM, AL, 351244340, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-266-5394 |
| Fax | 2053583517 |
| Phone | +1 205-358-3515 |
Authorized person
| Name | STACIE JACKSON |
| Role | OCCUPATIONAL THERAPIST/PRESIDENT |
| Phone | 2052665394 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | 2276 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 225XG0600X - Gerontology Occupational Therapist |
| License Number | 2276 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 225XL0004X - Low Vision Occupational Therapist |
| License Number | 2276 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OCCUPATIONAL THERAPIST |
| Number | 2276 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JACKSON, STACIE W | Agent | 719 HERITAGE PARK LANEHOOVER, AL 35226 |
| Name | Role | Address |
|---|---|---|
| JACKSON, STACIE WILLIAMS | Organizer | 719 HERITAGE PARK LANEHOOVER, AL 35226 |
| JACKSON, STACIE W | Organizer | 719 HERITAGE PARK LANEHOOVER, AL 35226 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
