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Integrative Healthcare of Lower Alabama, LLC

Details

Name: Integrative Healthcare of Lower Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Aug 2019 (5 years ago)
Entity Number: 000-585-095
Register Number: 000585095
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 109 PEBBLE COURTFAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528846581 2023-09-20 2023-10-05 28720 U.S. 98, SUITE 1, DAPHNE, AL, 36526, US 28720 U.S. 98, SUITE 1, DAPHNE, AL, 36526, US

Contacts

Phone +1 251-241-4346
Fax 2512414356

Authorized person

Name TARA MCLELLAN
Role OWNER
Phone 6178381844

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
MCLELLAN, TARA Agent 109 PEBBLE COURTFAIRHOPE, AL 36532

Organizer

Name Role Address
MCLELLAN, TARA Organizer 109 PEBBLE COURTFAIRHOPE, AL 36532

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State