| Name: | CoreLife Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Mar 2018 (7 years ago) |
| Entity Number: | 000-514-313 |
| Register Number: | 000514313 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2829 2ND AVENUE SOUTH, SUITE 220BIRMINGHAM, AL 35233 |
| Registered Office Street Address ZIP Code: | 35233 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043892672 | 2021-04-23 | 2021-10-14 | 1111 BENFIELD BLVD STE 250, MILLERSVILLE, MD, 21108, US | 3829 LORNA RD, HOOVER, AL, 352447034, US | |||||||||||||||||||
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| Phone | +1 443-688-6909 |
| Phone | +1 205-710-2368 |
Authorized person
| Name | KELLY SHEEHAN |
| Role | DIRECTOR, RCM |
| Phone | 4434396309 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATSON, JOSEPH E | Agent | 2829 2ND AVE.SOUTH,SUITE 220BIRMINGHAM, AL 35233 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
