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Coldwater Healthcare, LLC

Details

Name: Coldwater Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Dec 2017 (7 years ago)
Entity Number: 000-409-954
Register Number: 000409954
County: Colbert
Place of Formation: Colbert County
Registered Office Street Address: 130 KELLER PARK BOULEVARDTUSCUMBIA, AL 35674
Registered Office Street Address ZIP Code: 35674

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659887883 2017-12-26 2017-12-26 130 KELLER PARK BLVD, TUSCUMBIA, AL, 356741416, US 130 KELLER PARK BLVD, TUSCUMBIA, AL, 356741416, US

Contacts

Phone +1 256-381-0085
Fax 2563810907

Authorized person

Name JENNIFER L LAWSON
Role OWNER/ACNP-BC
Phone 2563810085

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role
LAWSON, JENNIFER Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State