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Divine Family Wellness, LLC

Details

Name: Divine Family Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Apr 2020 (5 years ago) (Companies founded in April 2020)
Entity Number: 000-629-498
Register Number: 000629498
ZIP code: 35570 (Companies in Marion, 35570)
County: Marion
Place of Formation: Marion County
Registered Office Street Address: 5492 COUNTY ROAD 29HAMILTON, AL 35570

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518581248 2020-05-28 2020-12-03 PO BOX 522, HAMILTON, AL, 355700522, US 400 BEXAR AVE W, HAMILTON, AL, 355705522, US

Contacts

Phone +1 205-921-2838
Fax 2054302672

Authorized person

Name ASHLEY N OZBIRN
Role OWNER
Phone 2059212838

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
OZBIM, JOHNATHON Agent 5492 COUNTY ROAD 29HAMILTON, AL 35570

Organizer

Name Role Address
OZBIM, JOHNATHON Organizer 5492 COUNTY ROAD 29HAMILTON, AL 35570

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State