| Name: | Magnolia Creek, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Oct 2006 (18 years ago) |
| Entity Number: | 000-485-342 |
| Register Number: | 000485342 |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
PSYCHOLOGICAL/MEDICAL/THERAPEUTIC SERVICES FOR EATING DISORDERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265563993 | 2007-03-07 | 2024-05-29 | DEPT #8049, PO BOX 850001, ORLANDO, FL, 328858049, US | 162 MAGNOLIA CREEK DR, COLUMBIANA, AL, 350511157, US | |||||||||||||
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| Phone | +1 205-730-6649 |
Authorized person
| Name | SCOTT SARNACKE |
| Role | AUTHORIZED OFFICIAL |
| Phone | 6154427689 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386022 | 1612 28TH AVE SOUTH, BIRMINGHAM, AL, 35051 | 1612 28TH AVE SOUTH, BIRMINGHAM, AL, 35051 | No data | |||||||||
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| Form type | REGDEX |
| File number | 021-98395 |
| Filing date | 2007-01-05 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role |
|---|---|
| MILLER, RENEE | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
