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HealthSource of Florence, LLC

Details

Name: HealthSource of Florence, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Feb 2017 (8 years ago) (Companies founded in February 2017)
Entity Number: 000-384-448
Register Number: 000384448
ZIP code: 35645 (Companies in Lauderdale, 35645)
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 601 CR 411KILLEN, AL 35645

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225563844 2017-04-21 2017-04-21 PO BOX 1036, FLORENCE, AL, 356311036, US 133 ANA DR, FLORENCE, AL, 356301731, US

Contacts

Phone +1 662-316-4376
Fax 2567685226

Authorized person

Name DR. WILLIAM T JUMPER
Role DOCTOR OF CHIROPRACTIC
Phone 6623164376

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2511
State AL
Is Primary Yes

Agent

Name Role Address
JUMPER, WILLIAM T Agent 601 CR 411KILLEN, AL 35645

Organizer

Name Role Address
JUMPER, WILLIAM T Organizer 601 CR 411KILLEN, AL 35645

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State