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Integrity Family Care North Alabama, LLC

Details

Name: Integrity Family Care North Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 24 Jun 2016 (8 years ago) (Companies founded in June 2016)
Entity Number: 000-366-246
Register Number: 000366246
ZIP code: 35805 (Companies in Madison, 35805)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 2101 W CLINTON AVENUE SUITE 102HUNTSVILLE, AL 35805

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952843450 2016-11-15 2018-05-04 1041 BALCH RD, MADISON, AL, 357588820, US 1041 BALCH RD STE 300, MADISON, AL, 357588822, US

Contacts

Phone +1 256-325-1540
Fax 2567749040

Authorized person

Name BROOKELYN VANHOOZER
Role EXECUTIVE ASSISTANT
Phone 2563251540

Taxonomy

Taxonomy Code 305S00000X - Point of Service
License Number 1-146611
State AL
Is Primary Yes

Other Provider Identifiers

Issuer AL BON
Number 1-146611
State AL

Agent

Name Role Address
MARSDEN, RICHARD J Agent 2101 W CLINTON AVENUE STE 102HUNTSVILLE, AL 35805

Organizer

Name Role Address
MARSDEN, RICHARD J Organizer 2101 W CLINTON AVENUE STE 102HUNTSVILLE, AL 35805

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State