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Prattville Community Dialysis, LLC

Details

Name: Prattville Community Dialysis, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 04 Jan 2018 (7 years ago) (Companies founded in January 2018)
Entity Number: 000-506-282
Register Number: 000506282
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 211 COMMERCE COURT STE 104POTTSTOWN, PA 19464
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114434230 2018-01-10 2018-03-14 211 COMMERCE CT STE 104, POTTSTOWN, PA, 194643483, US 1815 GLYNWOOD DR, PRATTVILLE, AL, 360665584, US

Contacts

Phone +1 610-495-8900
Fax 6104958562

Authorized person

Name KELLY SMITH
Role DIRECTOR
Phone 6104958900

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State