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Southeastern Home Oxygen Service, Inc.

Details

Name: Southeastern Home Oxygen Service, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 23 Mar 1982 (43 years ago) (Companies founded in March 1982)
Entity Number: 000-335-882
Register Number: 000335882
ZIP code: 36867 (Companies in Russell, 36867)
County: Russell
Place of Formation: Georgia
Principal Mailing Address: PO BOX 4358COLUMBUS, GA 31914
Principal Address: 2310 CRAWFORD ROAD, SUITE 106PHENIX CITY, AL 36867
Registered Office Street Address: 812 LEE ROADSMITHS, AL 36877

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710342308 2015-12-23 2015-12-23 PO BOX 4358, COLUMBUS, GA, 319140358, US 2310 CRAWFORD RD STE 106, PHENIX CITY, AL, 368673612, US

Contacts

Phone +1 706-327-8993
Fax 7063270254
Phone +1 334-384-9244
Fax 3343849246

Authorized person

Name MR. JEREMY KILLOUGH
Role PRESIDENT
Phone 7063278993

Taxonomy

Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
License Number 467
State AL
Is Primary Yes

Agent

Name Role
THOMPSON, CARMON Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State