| Name: | Veterans Wellness Center of Alabama LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Nov 2018 (6 years ago) |
| Entity Number: | 000-534-799 |
| Register Number: | 000534799 |
| Historical Names: |
INJURY SPECIALISTS OF BIRMINGHAM LLC
|
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 341 WEST SEATTLE LNMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EFYXY63B6BJ9 | 2023-04-15 | 4367 ATLANTA HWY, MONTGOMERY, AL, 36109, 3171, USA | PO BOX 240132, MONTGOMERY, AL, 36124, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.vwcalabama.com |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-03-18 |
| Initial Registration Date | 2021-03-20 |
| Entity Start Date | 2018-11-09 |
| Fiscal Year End Close Date | Dec 21 |
Service Classifications
| NAICS Codes | 621111 |
| Product and Service Codes | Q201 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID GRAHAM |
| Role | OWNER |
| Address | 4367 ATLANTA HWY STE C, MONTGOMERY, AL, 36109, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID GRAHAM |
| Role | OWNER |
| Address | 4367 ATLANTA HWY STE C, MONTGOMERY, AL, 36109, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568005056 | 2019-10-28 | 2024-07-01 | PO BOX 240132, MONTGOMERY, AL, 361240132, US | 5911 MONTICELLO DR, MONTGOMERY, AL, 361171940, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 443-902-8816 |
| Fax | 3343237148 |
| Phone | +1 334-676-2797 |
Authorized person
| Name | DAVID S GRAHAM |
| Role | OWNER |
| Phone | 4439028816 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRAHAM, DAVID | Agent | 341 WEST SEATTLE LNMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| GRAHAM, DAVID | Member | 341 WEST SEATTLE LNMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| GRAHAM, DAVID | Organizer | 341 WEST SEATTLE LNMONTGOMERY, AL 36117 |
| KHATRI, NISHANT C | Organizer | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-05-28 | Name Change | INJURY SPECIALISTS OF BIRMINGHAM LLC | Veterans Wellness Center of Alabama LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
