| Name: | Daugette Family Health Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Mar 2017 (8 years ago) (Companies founded in March 2017) |
| Entity Number: | 000-386-289 |
| Register Number: | 000386289 |
| ZIP code: | 36695 (Companies in Mobile, 36695) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 980 HAMILTON BRIDGES DRIVE WESTMOBILE, AL 36695 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306368055 | 2017-07-14 | 2017-07-14 | 980 HAMILTON BRIDGES DR W, MOBILE, AL, 366959650, US | 1120 HILLCREST RD STE 2G, MOBILE, AL, 366953955, US | |||||||||||||||||||||||
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| Phone | +1 251-635-7878 |
Authorized person
| Name | MRS. WHITNEY W DAUGETTE |
| Role | OWNER/SOLE PROPRIETOR |
| Phone | 2516357878 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 3784C |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101I801947 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DAUGETTE, WHITNEY | Organizer | 980 HAMILTON BRIDGES DRIVE WESTMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| DAUGETTE, WHITNEY | Agent | 980 HAMILTON BRIDGES DRIVE WESTMOBILE, AL 36695 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
