| Name: | Grant Wellness Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Sep 2020 (4 years ago) (Companies founded in September 2020) |
| Entity Number: | 000-649-588 |
| Register Number: | 000649588 |
| ZIP code: | 35747 (Companies in Marshall, 35747) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 4630 MAIN STREETGRANT, AL 35747 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295329910 | 2021-02-23 | 2021-03-08 | 4630 MAIN ST, GRANT, AL, 357478308, US | 4630 MAIN ST, GRANT, AL, 357478308, US | |||||||||||||
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| Phone | +1 256-728-7620 |
Authorized person
| Name | MS. STEPHANIE M RICE |
| Role | NURSE PRACTITIONER |
| Phone | 2567287620 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RICE, STEPHANIE M | Agent |
| Name | Role | Address |
|---|---|---|
| RICE, STEPHANIE MICHELE | Organizer | 4630 MAIN STREETGRANT, AL 35747 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
