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PROFESSIONAL EDGE NURSING, INC.

Branch

Details

Name: PROFESSIONAL EDGE NURSING, INC.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 04 Feb 2013 (12 years ago) (Companies founded in February 2013)
Entity Number: 000-343-769
Register Number: 000343769
Branch of: PROFESSIONAL EDGE NURSING, INC. (Company Number CORP_68916356) (Illinois)
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Illinois
Principal Address: 28633 2400TH STPROPHETSTOWN, IL 61277
Principal Mailing Address: P.O. BOX 36PROPHETSTOWN, IL 61277
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639785546 2020-09-17 2020-09-17 600 MARY LANE, ANNISTON, AL, 36207, US 600 MARY LANE, ANNISTON, AL, 36207, US

Contacts

Phone +1 815-499-4354

Authorized person

Name BRENDA KAY VANNATTA
Role CEO
Phone 8154994354

Taxonomy

Taxonomy Code 171000000X - Military Health Care Provider
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