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ELITE HEALTH GROUP, LLC - SOUTHSIDE

Details

Name: ELITE HEALTH GROUP, LLC - SOUTHSIDE
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 01 Jul 2022 (2 years ago) (Companies founded in July 2022)
Entity Number: 001-028-001
Register Number: 001028001
ZIP code: 35906 (Companies in Etowah, 35906)
County: Etowah
Place of Formation: Alabama
Registered Office Street Address: 2425 LUMBLEY ROADRAINBOW CITY, AL 35906

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619675246 2023-02-22 2023-02-23 1322 HWY 77, SOUTHSIDE, AL, 35907, US 1322 HWY 77, SOUTHSIDE, AL, 35907, US

Contacts

Phone +1 256-900-3010

Authorized person

Name PENNY STARGEL
Role BILLER
Phone 2562034844

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
PERMAN, EDWARD O. JR. Agent 2425 LUMBLEY ROADRAINBOW CITY, AL 35906

Organizer

Name Role Address
PERMAN, EDWARD O. JR. Organizer 2425 LUMBLEY ROADRAINBOW CITY, AL 35906
PERMAN, SETH Organizer 2425 LUMBLEY ROADRAINBOW CITY, AL 35906

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State