| Name: | Coosa Family Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Sep 2019 (5 years ago) |
| Entity Number: | 000-586-775 |
| Register Number: | 000586775 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 3197 HALL DRIVESOUTHSIDE, AL 35907 |
| Registered Office Street Address ZIP Code: | 35907 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578113221 | 2019-09-15 | 2022-10-31 | 310 W GRAND AVE, RAINBOW CITY, AL, 35906, US | 310 W GRAND AVE, RAINBOW CITY, AL, 35906, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 256-459-5132 |
| Fax | 2565431661 |
| Fax | 2564595179 |
Authorized person
| Name | KRISTOPHER HOLDER |
| Role | OWNER/MANAGER |
| Phone | 2564595132 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLDER, KRIS | Agent | 3197 HALL DRIVESOUTHSIDE, AL 35907 |
| Name | Role | Address |
|---|---|---|
| HOLDER, KRIS | Organizer | 3197 HALL DRIVESOUTHSIDE, AL 35907 |
| HOLDER, JORDAN | Organizer | 3197 HALL DRIVESOUTHSIDE, AL 35907 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
