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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MCLELLAN, TARA | Agent | 109 PEBBLE COURTFAIRHOPE, AL 36532 |
Name | Role | Address |
---|---|---|
MCLELLAN, TARA | Organizer | 109 PEBBLE COURTFAIRHOPE, AL 36532 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State