| Name: | Nance Enterprises LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 May 2015 (9 years ago) |
| Entity Number: | 000-338-683 |
| Register Number: | 000338683 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 7027 OLD MADISON PIKE SUITE 108HUNTSVILLE, AL 35806 |
| Registered Office Street Address ZIP Code: | 35806 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588058705 | 2015-03-25 | 2015-03-25 | 7027 OLD MADISON PIKE NW, SUITE 108, HUNTSVILLE, AL, 358062368, US | 7027 OLD MADISON PIKE NW, SUITE 108, HUNTSVILLE, AL, 358062368, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-503-8773 |
| Fax | 2569712227 |
Authorized person
| Name | MS. KEISHA NANCE |
| Role | CEO/OWNER |
| Phone | 2565038773 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 948 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 343800000X - Secured Medical Transport (VAN) |
| License Number | 948 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47823693 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| NANCE, KEISHA | Agent | 1544 BLAKE BOTTOM ROADHUNTSVILLE, AL 35806 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
