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Trifecta Healthcare Services LLC

Details

Name: Trifecta Healthcare Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Aug 2020 (4 years ago) (Companies founded in August 2020)
Entity Number: 000-644-054
Register Number: 000644054
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Mailing Address: 341 West Seattle LaneMontgomery, AL 36117
Registered Office Street Address: 445 Dexter Ave. Suite 4050Montgomery, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255086583 2022-02-15 2024-07-08 5911 MONTICELLO DR, MONTGOMERY, AL, 361171940, US 5911 MONTICELLO DR, MONTGOMERY, AL, 361171940, US

Contacts

Phone +1 443-902-8816
Phone +1 334-676-2797
Fax 3343237148

Authorized person

Name JASMINE GRAHAM
Role OFFICE MANAGER
Phone 3346762797

Taxonomy

Taxonomy Code 163WP0000X - Pain Management Registered Nurse
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No
Taxonomy Code 261QP3300X - Pain Clinic/Center
Is Primary Yes

Agent

Name Role
Graham, David S Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State