Name: | ArchWell Health Professional Services of Alabama, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 09 Apr 2021 (4 years ago) |
Entity Number: | 000-845-959 |
Register Number: | 000845959 |
County: | Montgomery |
Place of Formation: | Alabama |
Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
Registered Office Street Address ZIP Code: | 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033792502 | 2021-05-03 | 2023-04-05 | 102 WOODMONT BLVD STE 600, NASHVILLE, TN, 372055250, US | 165 BESSEMER SUPER HWY, MIDFIELD, AL, 352282101, US | |||||||||||||||||||||
|
Phone | +1 888-987-1151 |
Authorized person
Name | LISA LUCAS |
Role | CHIEF ADMINISTRATIVE OFFICER |
Phone | 6154190947 |
Taxonomy
Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
Is Primary | No |
Name | Role |
---|---|
C T Corporation System | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State