| Name: | Little Tallapoosa River Inpatient Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Mar 2017 (8 years ago) (Companies founded in March 2017) |
| Entity Number: | 000-386-645 |
| Register Number: | 000386645 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205368685 | 2017-04-03 | 2017-04-03 | 13737 NOEL RD, 1600, DALLAS, TX, 752401331, US | 209 MAIN ST, WEDOWEE, AL, 362787428, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 469-401-2386 |
Authorized person
| Name | TENNA K BEHM |
| Role | OFFICER |
| Phone | 4694012386 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
