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HIGHLANDS FAMILY CARE, LLC

Details

Name: HIGHLANDS FAMILY CARE, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 18 Aug 2014 (10 years ago)
Date of dissolution: 24 Aug 2021
Entity Number: 000-316-252
Register Number: 000316252
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 126 E PEACHTREE STREETSCOTTSBORO, AL 35768
Registered Office Street Address ZIP Code: 35768

Activities PERFORM MEDICAL TREATMENT AND ALL INCIDENTALS RELATED THERETO

National Provider Identifier

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

Contacts

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

Agent

Name Role
LACKEY, GARY W Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State