| Name: | CAALKEN LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Sep 2021 (3 years ago) |
| Entity Number: | 000-901-839 |
| Register Number: | 000901839 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 640 S Lawrence StreetMontgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275294217 | 2022-01-03 | 2022-01-03 | 9033, WARES FERRY RD, MONTGOMERY, AL, 36117, US | 9033, WARES FERRY RD, MONTGOMERY, AL, 36117, US | |||||||||||||||||||||
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| Phone | +1 334-277-7751 |
| Fax | 3344600665 |
Authorized person
| Name | MRS. CAMTU NGOC NGUYEN |
| Role | MANAGER |
| Phone | 3343222713 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009989345 |
| State | AL |
| Name | Role |
|---|---|
| Nguyen, Cam-tu O.D. | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
