| Name: | Revitalize Alabama LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 May 2021 (3 years ago) |
| Entity Number: | 000-859-176 |
| Register Number: | 000859176 |
| County: | Lee |
| Place of Formation: | Alabama |
| Principal Address: | 2298 E University DrSte A-202Auburn, AL 36830 |
| Principal Address ZIP Code: | 36830 |
| Registered Office Street Address: | 600 Boulevard South SW, Suite 104JHuntsville, AL 35802 |
| Registered Office Street Address ZIP Code: | 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942975180 | 2021-08-10 | 2021-10-06 | PO BOX 2738, OPELIKA, AL, 368032738, US | 105 1ST STREET, AUBURN, AL, 368300000, US | |||||||||||||
|
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| Phone | +1 334-734-7973 |
Authorized person
| Name | MR. TRAVIS WOODLEY |
| Role | PRESIDENT |
| Phone | 3347347973 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| USCA Inc. | Agent |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM, INC. | Organizer | 101 N Brand Blvd., 11th FloorGlendale, CA 91203 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
