| 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 |
| 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 | |||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| LAWSON, JENNIFER | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
