| Name: | Arab Family Healthcare, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Sep 2008 (16 years ago) |
| Entity Number: | 000-425-428 |
| Register Number: | 000425428 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 121 GOLFVIEW DR NEARAB, AL 35016 |
| Registered Office Street Address ZIP Code: | 35016 |
Activities
MEDICAL CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790937845 | 2008-10-21 | 2021-01-03 | 180 GREYSTONE PASS, GUNTERSVILLE, AL, 359764801, US | 180 GREYSTONE PASS, GUNTERSVILLE, AL, 359764801, US | |||||||||||||||||||||||||||
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| Phone | +1 256-224-9167 |
| Fax | 2569310781 |
| Fax | 2564869244 |
Authorized person
| Name | ROBERT WADE HARGRAVES |
| Role | PHYSICIAN |
| Phone | 2562249167 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 9277 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI INDIVIDUAL |
| Number | 1821048794 |
| State | AL |
| Name | Role |
|---|---|
| HARGRAVES, ROBERT | Agent |
| Name | Role | Address |
|---|---|---|
| HARGRAVES, KIM | Member | 121 GOLFVIEW DRIVE NEARAB, AL 35016 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
