| Name: | Millport Holdings DME, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Sep 2014 (10 years ago) |
| Entity Number: | 000-317-985 |
| Register Number: | 000317985 |
| Place of Formation: | Lamar County |
| Registered Office Street Address: | 13530 HIGHWAY 96MILLPORT, AL 33576 |
Activities
DEAL IN DURABLE MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457758351 | 2014-11-21 | 2015-07-23 | PO BOX 308, 13530 HWY 96, MILLPORT, AL, 35576, US | 13530 HWY 96, MILLPORT, AL, 35576, US | |||||||||||||||||||
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| Phone | +1 205-662-3862 |
Authorized person
| Name | MR. ROBERT E SWANSON JR. |
| Role | OWNER |
| Phone | 2056623862 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHELD |
| Number | 168697625 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| TRULL, ALICE | Agent | 13530 HIGHWAY 96MILLPORT, AL 33576 |
| Name | Role | Address |
|---|---|---|
| TRULL, ALICE | Organizer | 13530 HIGHWAY 96MILLPORT, AL 33576 |
| STRAWBRIDGE, AUDREY OSWALT | Organizer | P.O. BOX 522VERNON, AL 35592 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
