| Name: | Tennessee Brace and Medical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Aug 2007 (17 years ago) |
| Entity Number: | 000-549-529 |
| Register Number: | 000549529 |
| County: | Madison |
| Place of Formation: | Tennessee |
| Principal Address: | 118 Shelbyville HwyFayetteville, TN 37334 |
| Principal Mailing Address: | PO BOX 249Fayetteville, TN 37334 |
| Registered Office Street Address: | 2720 BiscayneHuntsville, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Registered Office Mailing Address: | 2720 BixcayneHuntsville, AL 35801 |
| Registered Office Mailing Address ZIP Code: | 35801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255992418 | 2019-06-27 | 2019-12-04 | PO BOX 249, FAYETTEVILLE, TN, 373340249, US | 12819 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL, 357508629, US | |||||||||||||||||||||||||||||||
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| Phone | +1 931-438-2777 |
| Fax | 9314382778 |
| Phone | +1 256-693-7590 |
| Fax | 2566937586 |
Authorized person
| Name | CHRISTY JO BROWN |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 9314382777 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA STATE BOARD OF PHARMACY |
| Number | 2020 |
| State | AL |
| Issuer | ALABAMA BOARD OF HOME MEDICAL EQUIPMENT SERVICES PROVIDERS |
| Number | 1538 |
| State | AL |
| Name | Role |
|---|---|
| Roberson, Seressa | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
