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Dialysis Services of Decatur, LLC

Details

Name: Dialysis Services of Decatur, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Aug 2015 (9 years ago)
Entity Number: 000-340-970
Register Number: 000340970
County: Montgomery
Place of Formation: Delaware
Principal Address: 1633 Church Street, Suite 500Nashville, TN 37203
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396270906 2017-04-21 2019-07-11 1601 6TH AVE SE, DECATUR, AL, 356014919, US 2705 HIGHWAY 31 S, DECATUR, AL, 356031507, US

Contacts

Phone +1 256-350-8882
Fax 2563508761

Authorized person

Name MR. WILLIAM E WOOD II
Role PRESIDENT
Phone 6153273061

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State