Name: | Ivy Leaf Health & Wellness, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 04 Sep 2019 (5 years ago) (Companies founded in September 2019) |
Entity Number: | 000-586-608 |
Register Number: | 000586608 |
ZIP code: | 35244 (Companies in Jefferson, 35244) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 5585 PARK SIDE CIRCLEHOOVER, AL 35244 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598384265 | 2020-04-13 | 2020-04-13 | 5585 PARK SIDE CIR, HOOVER, AL, 352445124, US | 5585 PARK SIDE CIR, HOOVER, AL, 352445124, US | |||||||||||||||
|
Phone | +1 334-303-8960 |
Fax | 7272029651 |
Authorized person
Name | DR. WHITNEE BROWN |
Role | NURSE PRACTITIONER |
Phone | 3343038960 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
BROWN, WHITNEE C | Agent |
Name | Role | Address |
---|---|---|
BROWN, WHITNEE C. | Organizer | 5585 PARK SIDE CIRCLEHOOVER, AL 35244 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State