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Education Avenue, LLC

Details

Name: Education Avenue, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Oct 2021 (3 years ago) (Companies founded in October 2021)
Entity Number: 000-948-035
Register Number: 000948035
ZIP code: 35765 (Companies in Jackson, 35765)
County: Jackson
Place of Formation: Alabama
Registered Office Street Address: 22 Miles LanePisgah, AL 35765

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417605585 2022-03-16 2022-05-16 5375 TAMMY LITTLE DR STE 3, SECTION, AL, 357717257, US 5375 TAMMY LITTLE DR STE 3, SECTION, AL, 357717257, US

Contacts

Phone +1 256-242-3261

Authorized person

Name MONICA PAYNE
Role OWNER/AUTHORIZED OFFICIAL
Phone 2562287179

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No

Agent

Name Role
Gann, Ashley Gann Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State