| Name: | Modern Health Family Care Practice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Apr 2020 (5 years ago) (Companies founded in April 2020) |
| Entity Number: | 000-629-194 |
| Register Number: | 000629194 |
| ZIP code: | 36320 (Companies in Houston, 36320) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 13000 Cottonwood rdCottonwood, AL 36320 |
| Registered Office Mailing Address: | P.O. Box 509Cottonwood, AL 36320 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891316758 | 2020-05-01 | 2020-08-27 | PO BOX 509, COTTONWOOD, AL, 363200509, US | 13000 COTTONWOOD RD, COTTONWOOD, AL, 363204280, US | |||||||||||||
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| Phone | +1 334-797-4787 |
Authorized person
| Name | JESSICA CARLIELA JONES |
| Role | OWNER |
| Phone | 3347974787 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Jones, Jessica C | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
