| Name: | HIGHLANDS FAMILY CARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 18 Aug 2014 (10 years ago) (Companies founded in August 2014) |
| Date of dissolution: | 24 Aug 2021 |
| Entity Number: | 000-316-252 |
| Register Number: | 000316252 |
| ZIP code: | 35768 (Companies in Jackson, 35768) |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 126 E PEACHTREE STREETSCOTTSBORO, AL 35768 |
Activities
PERFORM MEDICAL TREATMENT AND ALL INCIDENTALS RELATED THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952702540 | 2014-09-15 | 2022-03-22 | PO BOX 1050, SCOTTSBORO, AL, 357681050, US | 7655 ALABAMA HWY 71, DUTTON, AL, 35744, US | |||||||||||||||||||||
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| Phone | +1 256-218-3856 |
| Phone | +1 256-657-2025 |
| Fax | 2566572028 |
Authorized person
| Name | DR. AMANDA L FOSHEE |
| Role | PRESIDENT |
| Phone | 2566572025 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD32050 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7AZN3 | Active | Non-Manufacturer | 2015-01-29 | 2016-01-27 | No data | No data | |||||||||||||
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| POC | AMANDA FOSHEE |
| Phone | +1 256-657-2025 |
| Address | 7655 ALABAMA HWY 71, DUTTON, AL, 35744, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| LACKEY, GARY W | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
