| Name: | Wave Medical Equipment, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 Oct 2014 (10 years ago) |
| Date of dissolution: | 10 Apr 2018 |
| Entity Number: | 000-320-308 |
| Register Number: | 000320308 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 10053 BAYOU CIRCLEFAIRHOPE, AL 36532 |
| Principal Address ZIP Code: | 36532 |
Activities
SALE
RENTAL OR LEASE OF DURABLE MEDICAL EQUIPMENT AND RELATED SU
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861897324 | 2014-10-27 | 2015-06-05 | 333 GREENO RD S, SUITE C, FAIRHOPE, AL, 365321930, US | 333 GREENO RD S, SUITE C, FAIRHOPE, AL, 365321930, US | |||||||||||||||||||
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| Phone | +1 251-990-0708 |
Authorized person
| Name | MR. NORMAN WAYNE LEWIS |
| Role | PRESIDENT/CEO |
| Phone | 2519900708 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA BOARD OF HOME MEDICAL EQUIPMENT LICENSE |
| Number | 1370 |
| State | AL |
| Name | Role |
|---|---|
| LEWIS, N W | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
