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Homewood Family WellCare, LLC

Details

Name: Homewood Family WellCare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Jun 2015 (9 years ago) (Companies founded in June 2015)
Entity Number: 000-338-366
Register Number: 000338366
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: ONE INDEPENDENCE PLAZA SUITE 410HOMEWOOD, AL 35209

Activities PROVIDE FULL MEDICAL/QUALITY CARE SERVICES/PROGRAMS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710438502 2016-10-17 2016-10-17 1 INDEPENDENCE PLZ STE 410, HOMEWOOD, AL, 352092648, US 1 INDEPENDENCE PLZ STE 410, HOMEWOOD, AL, 352092648, US

Contacts

Phone +1 205-516-3290

Authorized person

Name JANIE N WHITE
Role PRESIDENT/ORGANIZER
Phone 2055163290

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
WHITE, JANIE N Agent ONE INDEPENDENCE PLAZA SUITE 410HOMEWOOD, AL 35209

Organizer

Name Role Address
WHITE, JANIE N Organizer ONE INDEPENDENCE PLAZA SUITE 410HOMEWOOD, AL 35209

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State