| Name: | Enterprise Speech and Learning Center L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Dec 2002 (22 years ago) |
| Entity Number: | 000-686-741 |
| Register Number: | 000686741 |
| County: | Coffee |
| Place of Formation: | Coffee County |
| Principal Address: | ENTERPRISE, AL |
| Registered Office Street Address: | 519 E LEE STENTERPRISE, AL 36330 |
| Registered Office Street Address ZIP Code: | 36330 |
Activities
PROVIDE GOODS/SVC FOR HEARING/SPEECH DEVELOPMENT/PATHOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144391475 | 2006-11-10 | 2013-07-01 | PO BOX 310178, ENTERPRISE, AL, 363310178, US | 1018 RUCKER BLVD STE D, ENTERPRISE, AL, 363303688, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-393-7500 |
| Fax | 3343937505 |
| Phone | +1 334-393-5555 |
| Fax | 3343080060 |
Authorized person
| Name | MR. ALLEN BRYAN |
| Role | OWNER |
| Phone | 3343937500 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | 12983 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51521673 |
| State | AL |
| Name | Role |
|---|---|
| PURVIS, MICHAEL BRENT | Agent |
| Name | Role |
|---|---|
| PURVIS, MICHAEL BRENT | Member |
| PURVIS, MICHAEL O | Member |
| BRYAN, STANLEY ALLEN | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
