| Name: | Premium Family Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 02 Jan 2019 (6 years ago) (Companies founded in January 2019) |
| Date of dissolution: | 14 Nov 2022 |
| Entity Number: | 000-538-894 |
| Register Number: | 000538894 |
| ZIP code: | 35763 (Companies in Madison, 35763) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2703 TREYBURNE LANE SEOWENS CROSS ROADS, AL 35763 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922667476 | 2019-06-09 | 2019-06-09 | 333 WHITESPORT DR SW STE 204, HUNTSVILLE, AL, 358013455, US | 333 WHITESPORT DR SW STE 204, HUNTSVILLE, AL, 358013455, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 601-566-3564 |
Authorized person
| Name | JACOB WILSON |
| Role | OWNER |
| Phone | 6015290948 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WILSON, JACOB N M.D. | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
