| Name: | Premier Family Care Blountsville, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Apr 2020 (5 years ago) |
| Entity Number: | 000-628-414 |
| Register Number: | 000628414 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 495 WORTHINGTON LANEGUNTERSVILLE, AL 35976 |
| Registered Office Street Address ZIP Code: | 35976 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| V1F7G6PGSJ29 | 2022-07-17 | 68278 MAIN ST, BLOUNTSVILLE, AL, 35031, 3370, USA | 68278 MAIN ST, BLOUNTSVILLE, AL, 35031, 3370, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-06-23 |
| Initial Registration Date | 2021-06-17 |
| Entity Start Date | 2020-11-16 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BEVERLY HARPER |
| Role | MANAGER |
| Address | 20 SOUTH MAIN ST, ARAB, AL, 35016, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JESS YOUNGBLOOD |
| Address | 2017 OBRIG AVE, GUNTERSVILLE, AL, 35976, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932711132 | 2020-08-19 | 2020-08-19 | 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US | 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US | |||||||||||||||
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| Phone | +1 256-586-2324 |
| Fax | 2565862321 |
Authorized person
| Name | BEVERLY HARPER |
| Role | OFFICE MANAGER |
| Phone | 2565862324 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD, JESS H | Agent | 6463 SPRING CREEK DRIVEGUNTERSVILLE, AL 35976 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, SHANNON | Organizer | 140 NORTH MAIN STREETBOAZ, AL 35957 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
