| Name: | Southern Blessings Adult and Pediatric Housecall LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jun 2020 (4 years ago) |
| Entity Number: | 000-635-306 |
| Register Number: | 000635306 |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 508 DEER RIDGE RUNJASPER, AL 35503 |
| Registered Office Street Address ZIP Code: | 35503 |
Activities
ENGAGE IN THE OPERATION OF A MEDICAL SERVICES BUSINESS AS WELL AS ANY & ALL OTHER LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740877257 | 2020-12-30 | 2020-12-30 | 1402 PINEVIEW RD, JASPER, AL, 355048906, US | 1402 PINEVIEW RD, JASPER, AL, 355048906, US | |||||||||||||
|
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| Phone | +1 606-302-1233 |
Authorized person
| Name | TIFFANY TOLLIVER |
| Role | OWNER |
| Phone | 6063021233 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIFFANY TOLLIVER | Member | 1402 PINEVIEW ROADJASPER, AL 35504 |
| Name | Role |
|---|---|
| TOLLIVER, TIFFANY | Agent |
| Name | Role | Address |
|---|---|---|
| TIFFANY TOLLIVER | Manager | 1402 PINEVIEW ROADJASPER, AL 35504 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
