| Name: | LifeLinc Direct Care, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 12 Oct 2015 (9 years ago) (Companies founded in October 2015) |
| Entity Number: | 000-351-928 |
| Register Number: | 000351928 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 3340 PLAYERS CLUB PKWY STE 350MEMPHIS, TN 38125 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790148740 | 2016-03-29 | 2016-04-21 | 3340 PLAYERS CLUB PKWY, SUITE 350, MEMPHIS, TN, 381258933, US | 2207 MOODY RIDGE RD, SCOTTSBORO, AL, 357684113, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 866-362-6963 |
| Fax | 8663624202 |
| Phone | +1 256-912-0341 |
| Fax | 2569120341 |
Authorized person
| Name | ERICA N WARREN |
| Role | COO |
| Phone | 9018441590 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS INC | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
