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Hideaway Health Table LLC

Details

Name: Hideaway Health Table LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Feb 2019 (6 years ago) (Companies founded in February 2019)
Entity Number: 000-544-105
Register Number: 000544105
ZIP code: 35763 (Companies in Madison, 35763)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 4817 BROWNSTON CT SEOWENS CROSSROADS, AL 35763

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043874068 2019-04-24 2019-04-24 4817 BROWNSTON CT SE, OWENS CROSS ROADS, AL, 357639161, US 4817 BROWNSTON CT SE, OWENS CROSS ROADS, AL, 357639161, US

Contacts

Phone +1 256-426-3593

Authorized person

Name MR. GREGORY GILLILAND
Role OWNER
Phone 2564263593

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
GILLILAND, GREGORY W Agent 4817 BROWNSTON CT SEOWENS CROSSROADS, AL 35763

Organizer

Name Role Address
GILLILAND, GREGORY W Organizer 4817 BROWNSTON CT SEOWENS CROSSROADS, AL 35763

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State