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