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Fresenius Medical Care Anniston Home, LLC

Details

Name: Fresenius Medical Care Anniston Home, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 21 Jul 2014 (10 years ago) (Companies founded in July 2014)
Entity Number: 000-314-511
Register Number: 000314511
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 920 Winter St.Waltham, MA 02451
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699161307 2015-04-09 2023-10-19 2017 QUINTARD AVE STE A, ANNISTON, AL, 362013219, US 2017 QUINTARD AVE STE A, ANNISTON, AL, 362013219, US

Contacts

Phone +1 256-237-7340
Fax 2562370253

Authorized person

Name BARRY L. BLANTON
Role VICE PRESIDENT
Phone 7816999000

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 193613
State AL

Agent

Name Role
C T Corporation System Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State