| Name: | MD Wellness Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Dec 2020 (4 years ago) |
| Entity Number: | 000-825-133 |
| Register Number: | 000825133 |
| County: | Cullman |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 2021 AL-157 SUITE ACULLMAN, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972334332 | 2024-08-08 | 2024-08-08 | 2021 AL HIGHWAY 157 STE A, CULLMAN, AL, 350580687, US | 2021 AL HIGHWAY 157 STE A, CULLMAN, AL, 350580687, US | |||||||||||||||
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| Phone | +1 256-841-1704 |
| Fax | 2568411563 |
Authorized person
| Name | MRS. ASHLEY CAMPBELL DRAKE |
| Role | CO-OWNER/MANAGER |
| Phone | 2568411704 |
Taxonomy
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOHIUDDIN, HASAN | Agent | 1924 STRAWBERRY LANEHOOVERN, AL 35244 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
