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Medical Supply DME LLC

Details

Name: Medical Supply DME LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Feb 2019 (6 years ago)
Entity Number: 000-542-943
Register Number: 000542943
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2400 PROMENADE BLVD 2MOTNGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578020004 2019-02-20 2019-03-01 2400 PROMENADE BLVD APT 2, MONTGOMERY, AL, 361064001, US 2400 PROMENADE BLVD APT 2, MONTGOMERY, AL, 361064001, US

Contacts

Phone +1 470-865-2445

Authorized person

Name MS. ETTA STARKS
Role OWNER
Phone 4708652445

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No
Taxonomy Code 332BN1400X - Nursing Facility Supplies (DME)
Is Primary No

Member

Name Role Address
Joseph White Jr Member 2400 Promenade 2Montgomery, AL 36106

Organizer

Name Role Address
STARKS, ETTA J Organizer 2400 PROMENADE BLVD 2MOTNGOMERY, AL 36106

Agent

Name Role
STARKS, ETTA Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State