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Infusion Care, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
Tole, John W Tole Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State