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REHAB & WELLNESS CLINIC, LLC

Details

Name: REHAB & WELLNESS CLINIC, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 21 Apr 2015 (10 years ago) (Companies founded in April 2015)
Entity Number: 000-334-074
Register Number: 000334074
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Cullman County
Registered Office Street Address: 1090 HWY 78 EASTJASPER, AL 35501

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043870231 2019-06-19 2019-06-19 1090 HIGHWAY 78 E, JASPER, AL, 35501, US 234 NORTH BROADWAY, SYLACAUGA, AL, 35150, US

Contacts

Phone +1 205-387-9787
Fax 2055442909
Phone +1 256-249-5500
Fax 2562495506

Authorized person

Name SAMIA MOIZUDDIN
Role PHYSICIAN
Phone 2053879787

Taxonomy

Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary Yes

Agent

Name Role
MOIZUDDIN, SAMIA Agent

Organizer

Name Role
WILLINGHAM, DAN Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State