| Name: | HealthSource of Decatur, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Mar 2016 (9 years ago) |
| Entity Number: | 000-356-314 |
| Register Number: | 000356314 |
| County: | Morgan |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 2349 DANVILLE ROAD SW, SUITE 210DECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992168827 | 2016-03-29 | 2016-08-19 | 2349 DANVILLE RD SW, SUITE 210, DECATUR, AL, 356034284, US | 2349 DANVILLE RD SW, SUITE 210, DECATUR, AL, 356034284, US | |||||||||||||||||
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| Phone | +1 256-822-1010 |
Authorized person
| Name | DAVID DEAN MATHIAS |
| Role | MANAGING MEMBER |
| Phone | 2567775955 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2423 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALDECK, ALEX | Agent |
| Name | Role | Address |
|---|---|---|
| MATHIAS, JACOB | Organizer | 16976 LINTON RD.ATHENS, AL 35613 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
