| Name: | Vital Healthcare LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Feb 2022 (3 years ago) |
| Entity Number: | 001-001-044 |
| Register Number: | 001001044 |
| County: | Colbert |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 412 Madison aveMuscle Shoals, AL 35661 |
| Registered Office Street Address ZIP Code: | 35661 |
| Registered Office Mailing Address: | 412 Madison aveMuscle shoals, AL 35661 |
| Registered Office Mailing Address ZIP Code: | 35661 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255078192 | 2022-05-12 | 2022-07-20 | 503 W STATE ST STE A18, MUSCLE SHOALS, AL, 356612861, US | 503 W STATE ST STE A18, MUSCLE SHOALS, AL, 356612861, US | |||||||||||||||
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| Phone | +1 563-265-2768 |
| Phone | +1 256-247-8923 |
Authorized person
| Name | STACY DAVIS |
| Role | NURSE PRACTITIONER |
| Phone | 2562478923 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Davis, Stacy | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
