| Name: | Northeast Alabama Health & Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 26 Jan 2022 (3 years ago) (Companies founded in January 2022) |
| Date of dissolution: | 24 Oct 2023 |
| Entity Number: | 000-963-712 |
| Register Number: | 000963712 |
| ZIP code: | 35986 (Companies in De Kalb, 35986) |
| County: | De Kalb |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 613 County Road 514Rainsville, AL 35986 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578294864 | 2022-06-18 | 2022-11-01 | PO BOX 2420, RAINSVILLE, AL, 35986, US | 124 MCCURDY AVE S, RAINSVILLE, AL, 359865206, US | |||||||||||||
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| Phone | +1 256-996-4158 |
Authorized person
| Name | TYSON SCOTT RAINER |
| Role | CRNP/OWNER |
| Phone | 2566388513 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Rainer, Tyson | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
