| Name: | Mantrust, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Apr 2010 (15 years ago) |
| Entity Number: | 000-445-729 |
| Register Number: | 000445729 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 1841 HONEYSUCKLE RDDOTHAN, AL 36305 |
| Registered Office Street Address ZIP Code: | 36305 |
| Principal Address: | DOTHAN, AL |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316331101 | 2015-03-19 | 2015-03-19 | 2812 HARTFORD HWY, SUITE 1, DOTHAN, AL, 363054927, US | 2812 HARTFORD HWY, SUITE 1, DOTHAN, AL, 363054927, US | |||||||||||||||||||||||||
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| Phone | +1 334-712-1170 |
Authorized person
| Name | NANCY GILLEY |
| Role | ADMINISTRATOR |
| Phone | 3347121170 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MEGHANI, HASNAIN | Agent |
| Name | Role | Address |
|---|---|---|
| MEGHANI, PARISA | Member | 1801 HONEYSUCKLE ROADDOTHAN, AL 36305 |
| MEGHANI, HASNAIN Y | Member | No data |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
