Name: | WEcare Family Practice Clinic, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 06 Nov 2018 (6 years ago) |
Entity Number: | 000-534-182 |
Register Number: | 000534182 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 6521 HWY 69 S SUITE MTUSCALOOSA, AL 35405 |
Registered Office Street Address ZIP Code: | 35405 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548724297 | 2019-01-28 | 2019-05-15 | 6521 HIGHWAY 69 S STE M, TUSCALOOSA, AL, 354056498, US | 6521 HIGHWAY 69 S STE M, TUSCALOOSA, AL, 354056498, US | |||||||||||||||||||
|
Phone | +1 205-764-5162 |
Fax | 2057645187 |
Authorized person
Name | DR. REMONA L PETERSON |
Role | OWNER |
Phone | 2057645162 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
PETERSON, REMONA | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State