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Wentworth Healthcare LLC

Details

Name: Wentworth Healthcare LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Mar 2022 (3 years ago) (Companies founded in March 2022)
Entity Number: 001-011-708
Register Number: 001011708
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 212 W. Troy St., STE BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558058057 2023-04-24 2024-04-23 4800 WHITESBURG DR, ST 30. #186, HUNTSVILLE, AL, 358021600, US 2136 NOEL DR SW, HUNTSVILLE, AL, 358032086, US

Contacts

Fax 5094951142
Phone +1 256-469-0015

Authorized person

Name MR. JOSEPH BAILEY
Role CEO/OWNER
Phone 2564690015

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Organizer

Name Role Address
Bailey, Joseph Organizer 2136 Noel Drive SouthwestHuntsville, AL 35803-2086

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State