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Coastal Health and Wellness, L.L.C.

Details

Name: Coastal Health and Wellness, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Jun 2017 (7 years ago) (Companies founded in June 2017)
Entity Number: 000-394-716
Register Number: 000394716
ZIP code: 36527 (Companies in Baldwin, 36527)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 14 CONFEDERATE DRIVE SOUTHSPANISH FORT, AL 36527

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578088001 2017-08-05 2022-07-21 14 CONFEDERATE DR S, SPANISH FORT, AL, 365273062, US 14 CONFEDERATE DR S, SPANISH FORT, AL, 365273062, US

Contacts

Phone +1 205-919-9279
Fax 2089473465

Authorized person

Name BLAIR CARMICHAEL-LOBER
Role OWNER
Phone 2059199279

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
LOBER, BLAIR Agent 14 CONFEDERATE DRIVE SOUTHSPANISH FORT, AL 36527

Organizer

Name Role Address
LOBER, BLAIR Organizer 14 CONFEDERATE DRIVE SOUTHSPANISH FORT, AL 36527

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State