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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role |
---|---|
C T Corporation System | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State