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Homewood Medical LLC

Details

Name: Homewood Medical LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Feb 2019 (6 years ago)
Entity Number: 000-544-921
Register Number: 000544921
County: Montgomery
Place of Formation: Jefferson County
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609334374 2019-03-12 2019-03-12 601 BEACON PKWY W, STE 212, BIRMINGHAM, AL, 35209, US 601 BEACON PKWY W, STE 212, BIRMINGHAM, AL, 35209, US

Contacts

Phone +1 205-666-1500

Authorized person

Name BRAD LIVINGSTON
Role OWNER
Phone 8662590729

Taxonomy

Taxonomy Code 363LA2100X - Acute Care Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State