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Therapy South - Patchwork Farms, LLC

Details

Name: Therapy South - Patchwork Farms, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Nov 2016 (8 years ago)
Entity Number: 000-377-315
Register Number: 000377315
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3056 HEALTHY WAY, SUITE 116VESTAVIA HILLS, AL 35243
Registered Office Street Address ZIP Code: 35243

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992231047 2017-05-11 2017-05-11 2823 GREYSTN COM BLVD, BIRMINGHAM, AL, 352422660, US 3056 HEALTHY WAY, SUITE 116, BIRMINGHAM, AL, 352432434, US

Contacts

Phone +1 205-745-3660
Phone +1 205-783-5270

Authorized person

Name STEPHEN FOSTER
Role PRESIDENT
Phone 2057453660

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number 07071980
State AL
Is Primary Yes

Agent

Name Role Address
FOSTER, STEPHEN M Agent 2807 GREYSTONE COMMERCIAL BLVD STE34BIRMINGHAM, AL 35242

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State