| Name: | D & M Medical Supply, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Mar 2005 (20 years ago) |
| Date of dissolution: | 30 Mar 2020 |
| Entity Number: | 000-462-190 |
| Register Number: | 000462190 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 915A FRANKLIN STHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639123839 | 2006-05-20 | 2012-07-30 | 915 A FRANKLIN STREET, HUNTSVILLE, AL, 35801, US | 915 A FRANKLIN STREET, HUNTSVILLE, AL, 35801, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 256-417-6686 |
| Fax | 2564176690 |
Authorized person
| Name | MR. MICHAEL E WORLEY |
| Role | OWNER |
| Phone | 2564176686 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009911340 |
| State | AL |
| Name | Role |
|---|---|
| WORLEY, MICHAEL E | Agent |
| Name | Role |
|---|---|
| A & D HEALTHCARE LLC | Member |
| WORLEY, MICHAEL E | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
