| Name: | Family Prosthetic & Medical Supply, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Aug 2022 (2 years ago) (Companies founded in August 2022) |
| Entity Number: | 001-037-558 |
| Register Number: | 001037558 |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 111 Big Valley Drive, Suite A & BAlexandria, AL 35250 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265153670 | 2022-09-06 | 2022-09-06 | 111 BIG VALLEY DR STE A&B, ALEXANDRIA, AL, 362507004, US | 111 BIG VALLEY DR STE A&B, ALEXANDRIA, AL, 362507004, US | |||||||||||||||||||
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| Phone | +1 256-403-6344 |
| Fax | 2564032459 |
Authorized person
| Name | SCOTTY DEWAYNE SAMS |
| Role | OWNER/ PROSTHETIST |
| Phone | 2563935183 |
Taxonomy
| Taxonomy Code | 224P00000X - Prosthetist |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role |
|---|---|
| Sams, Scotty D | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
