| Name: | Women Taking Care of Women Plus LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Nov 2009 (15 years ago) |
| Date of dissolution: | 28 Mar 2019 |
| Entity Number: | 000-440-028 |
| Register Number: | 000440028 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1357 CARMICHAEL WAYMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003141649 | 2009-10-15 | 2009-10-15 | 1357 CARMICHAEL WAY, MONTGOMERY, AL, 361063629, US | 1357 CARMICHAEL WAY, MONTGOMERY, AL, 361063629, US | |||||||||||||||||||||||||||||||
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| Phone | +1 334-356-7749 |
| Fax | 3343567758 |
Authorized person
| Name | PATRICIA DARLENE ELLIOTT |
| Role | PHYSICIAN |
| Phone | 3343567749 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 12289 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104056 |
| State | AL |
| Issuer | BCBS |
| Number | 51042032 |
| State | AL |
| Name | Role |
|---|---|
| PENA, VICTOR ENERLO | Member |
| ELLIOTT, PATRICIA DARLENE | Member |
| Name | Role |
|---|---|
| ELLIOTT, PATRICIA DARLENE | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
