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Montgomery Medical & Rehab LLC

Details

Name: Montgomery Medical & Rehab LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 May 2022 (3 years ago)
Entity Number: 001-019-071
Register Number: 001019071
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528794989 2022-07-28 2022-07-28 100 INTERSTATE PARK DR STE 104, MONTGOMERY, AL, 361095438, US 100 INTERSTATE PARK DR STE 104, MONTGOMERY, AL, 361095438, US

Contacts

Phone +1 334-325-5550
Fax 3343255551

Authorized person

Name DR. CHAD LOVELESS
Role OWNER
Phone 9723100628

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State