Name: | SpectraCare Integrated Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 28 Sep 2016 (8 years ago) |
Entity Number: | 000-372-834 |
Register Number: | 000372834 |
County: | Houston |
Place of Formation: | Houston County |
Registered Office Street Address: | 3542 MONTGOMERY HWYDOTHAN, AL 36303 |
Registered Office Street Address ZIP Code: | 36303 |
Registered Office Mailing Address: | PO BOX 1245DOTHAN, AL 36302 |
Registered Office Mailing Address ZIP Code: | 36302 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205385176 | 2016-10-03 | 2016-10-03 | PO BOX 1245, DOTHAN, AL, 363021245, US | 3542 MONTGOMERY HWY, DOTHAN, AL, 363032165, US | |||||||||||||||
|
Phone | +1 334-712-2720 |
Fax | 3347122727 |
Authorized person
Name | MRS. MELISSA KIRKLAND |
Role | CHIEF EXECTUTIVE OFFICER |
Phone | 3347122720 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LUMBATIS, ALLISON REID | Organizer | 360 NORTH OATES STREETDOTHAN, AL 36303 |
Name | Role | Address |
---|---|---|
KIRKLAND, MELISSA | Agent | 3542 MONTGOMERY HWYDOTHAN, AL 36303 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State