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 |
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 | |||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
Graham, David S | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State