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Innovative Healthcare, LLC

Details

Name: Innovative Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2021 (3 years ago) (Companies founded in October 2021)
Entity Number: 000-946-285
Register Number: 000946285
Historical Names: Innovative Health, LLC
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 112 Farmstead RoadDothan, AL 36301

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083361893 2022-03-02 2022-03-02 200 GROVE PARK LN STE 660, DOTHAN, AL, 363055922, US 200 GROVE PARK LN STE 660, DOTHAN, AL, 363055922, US

Contacts

Phone +1 334-791-6910

Authorized person

Name DR. CLAUDE T ASHLEY JR.
Role MANAGER/ PHYSICIAN
Phone 3347916910

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role
Ashley, Claude T Jr. Agent

Events

Event Date Event Type Old Value New Value
2021-11-04 Name Change Innovative Health, LLC Innovative Healthcare, LLC

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State