| Name: | Special Touch by Eunice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 18 Sep 2014 (10 years ago) |
| Date of dissolution: | 19 Feb 2015 |
| Entity Number: | 000-318-543 |
| Register Number: | 000318543 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1105 SOMERSET CIRCLEHUNTSVILLE, AL 35803 |
| Registered Office Street Address ZIP Code: | 35803 |
| Principal Address: | 900 BOB WALLACE AVE SUITE 106HUNTSVILLE, AL 35801 |
| Principal Address ZIP Code: | 35801 |
Activities
FITTING/SELLING BREAST FORMS
WIGS
ETC FOR MASTECTOMY/OTHER CANCE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740327535 | 2007-01-31 | 2008-04-20 | 900 BOB WALLACE AVE SW, STE. 106, HUNTSVILLE, AL, 358015691, US | 900 BOB WALLACE AVE SW, STE. 106, HUNTSVILLE, AL, 358015691, US | |||||||||||||||||||||||||
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| Phone | +1 256-532-5111 |
| Fax | 2565325160 |
Authorized person
| Name | MRS. EUNICE WALKER |
| Role | OWNER |
| Phone | 2565325111 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 098118 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009931695 |
| State | AL |
| Name | Role |
|---|---|
| WALKER, EUNICE | Agent |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
