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Premier Family Care, L.L.C.

Details

Name: Premier Family Care, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 May 2010 (14 years ago)
Entity Number: 000-447-709
Register Number: 000447709
County: Marshall
Place of Formation: Marshall County
Principal Address: ALBERTVILLE, AL
Registered Office Street Address: 405 MARTLING RDALBERTVILLE, AL 35951
Registered Office Street Address ZIP Code: 35951

Activities MEDICAL PRACTICE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MD8KZU9UENX3 2022-07-16 2017 OBRIG AVE, GUNTERSVILLE, AL, 35976, 2156, USA PREMIER FAMILY CARE LLC, 2017 OBRIG AVENUE, GUNTERSVILLE, AL, 35976, USA

Business Information

Division Name PREMIER FAMILY CARE GUNTERSVILLE
Division Number PREMIER FA
Congressional District 04
State/Country of Incorporation AL, USA
Activation Date 2021-06-22
Initial Registration Date 2021-06-16
Entity Start Date 2011-01-03
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name BEVERLY HARPER
Role MANAGER
Address 2017 OBRIG AVE, GUNTERSVILLE, AL, 35976, USA
Government Business
Title PRIMARY POC
Name JESS YOUNGBLOOD
Role OWNER
Address 2017 OBRIG AVE, GUNTERSVILLE, AL, 35976, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831493675 2011-01-10 2011-01-10 2017 OBRIG AVE, GUNTERSVILLE, AL, 359762156, US 2017 OBRIG AVE, GUNTERSVILLE, AL, 359762156, US

Contacts

Phone +1 256-582-2324
Fax 2565822321

Authorized person

Name JESS H YOUNGBLOOD
Role OWNER
Phone 2565822324

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
MCCORD, NORMA A Agent

Member

Name Role Address
YOUNGBLOOD, JESS H Member 6463 SPRING CREEK DRIVEGUNTERSVILLE, AL 35976

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State