| Name: | AgeSafe Innovation LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 07 Mar 2016 (9 years ago) |
| Date of dissolution: | 07 Dec 2023 |
| Entity Number: | 000-356-228 |
| Register Number: | 000356228 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 4040 BENT RIVER LANEBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013461755 | 2016-08-11 | 2016-08-11 | 4040 BENT RIVER LN, BIRMINGHAM, AL, 352166802, US | 3517 LORNA RD, SUITE 239, BIRMINGHAM, AL, 352160906, US | |||||||||||||||||||||
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| Phone | +1 601-918-6980 |
| Fax | 2052786941 |
| Phone | +1 205-800-4923 |
Authorized person
| Name | DR. CEDRIC KENNARD DONALDSON |
| Role | OWNER |
| Phone | 6019186980 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH6362 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DONALDSON, CEDRIC C | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
