| Name: | Genesis Health and Beauty Bar LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Oct 2021 (3 years ago) |
| Entity Number: | 000-949-088 |
| Register Number: | 000949088 |
| County: | Baldwin |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 13149 Kinlock Falls AveFairhope, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750088969 | 2023-02-08 | 2023-02-08 | PO BOX 1952, FAIRHOPE, AL, 365331952, US | 2101 US HIGHWAY 98, DAPHNE, AL, 365264295, US | |||||||||||||||||||
|
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| Phone | +1 251-213-5061 |
Authorized person
| Name | BRITTANY AGUIRRE |
| Role | OWNER |
| Phone | 2512135061 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 210565 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| Legalzoom.com, Inc. | Organizer | 101 N Brand Blvd., 11th FlGlendale, CA 91203 |
| Name | Role |
|---|---|
| Aguirre, Brittany T | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
