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Boaz and Albertville Family Care, LLC

Details

Name: Boaz and Albertville Family Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Dec 2018 (6 years ago) (Companies founded in December 2018)
Entity Number: 000-537-139
Register Number: 000537139
ZIP code: 35957 (Companies in Marshall, 35957)
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 1524 HIGHWAY 431 NBOAZ, AL 35957
Registered Office Mailing Address: PO BOX 1150BOAZ, AL 35957

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245827203 2020-12-24 2020-12-24 PO BOX 22, BOAZ, AL, 359570022, US 3520 US HIGHWAY 431 STE 100, ALBERTVILLE, AL, 359500082, US

Contacts

Phone +1 256-849-0500
Fax 2565731021

Authorized person

Name MESSALINA JORDAN
Role OWNER
Phone 2054516711

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
WILSON, CHARLES Agent 1130 CHERRY POINT RDWEST RIVER, MD 20778

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State