| Name: | Hometown Family Medicine, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Aug 2014 (10 years ago) (Companies founded in August 2014) |
| Entity Number: | 000-316-116 |
| Register Number: | 000316116 |
| ZIP code: | 35120 (Companies in Saint Clair, 35120) |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 110 COUNCIL DRIVEODENVILLE, AL 35120 |
| Authorized Capital: | 10000 @ $1.00PV |
Activities
ANY OR ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013318070 | 2014-09-09 | 2022-03-23 | 2846 MOODY PKWY, MOODY, AL, 350043328, US | 2846 MOODY PKWY, MOODY, AL, 350043328, US | |||||||||||||||||||
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| Phone | +1 205-640-1756 |
| Fax | 2056401796 |
Authorized person
| Name | KALA BLAKELY |
| Role | OWNER/NURSE PRACTITIONER |
| Phone | 2056401756 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| License Number | 1124159 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLAKELY, KALA | Agent | 110 COUNCIL DRIVEODENVILLE, AL 35120 |
| Name | Role | Address |
|---|---|---|
| BLAKELY, KALA | Director | 110 COUNCIL DRIVEODENVILLE, AL 35120 |
| Name | Role | Address |
|---|---|---|
| BLAKELY, KALA | Incorporator | 110 COUNCIL DRIVEODENVILLE, AL 35120 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
