Name: | Infusion Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 17 Apr 2022 (3 years ago) (Companies founded in April 2022) |
Entity Number: | 001-014-916 |
Register Number: | 001014916 |
ZIP code: | 36830 (Companies in Lee, 36830) |
County: | Lee |
Place of Formation: | Alabama |
Registered Office Street Address: | 1925 E Glenn Ave, Suite 101Auburn, AL 36830 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053054817 | 2022-04-19 | 2022-06-24 | 1925 E GLENN AVE STE 203, AUBURN, AL, 368305729, US | 1925 E GLENN AVE STE 203, AUBURN, AL, 368305729, US | |||||||||||||||||||||||
|
Phone | +1 334-521-0073 |
Fax | 3345210394 |
Fax | 3345217898 |
Authorized person
Name | DR. JOHN W TOLE |
Role | OWNER/PHYSICIAN |
Phone | 3347441869 |
Taxonomy
Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 128735 |
State | AL |
Name | Role |
---|---|
Tole, John W Tole | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State