| Name: | Vestavia Spine and Rehabilitation Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Nov 2022 (2 years ago) (Companies founded in November 2022) |
| Entity Number: | 001-049-458 |
| Register Number: | 001049458 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2861 Regal Circle Apt BHoover, AL 35216 |
| Registered Office Mailing Address: | 2017 Canyon Road STE 21Vestavia, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841908571 | 2022-11-11 | 2023-04-20 | 2017 CANYON RD STE 21, VESTAVIA HILLS, AL, 352161928, US | 2017 CANYON RD STE 21, VESTAVIA HILLS, AL, 352161928, US | |||||||||||||||
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| Phone | +1 205-822-8320 |
| Fax | 2058228323 |
Authorized person
| Name | DR. DESHAN GROSS |
| Role | MEMEBR |
| Phone | 2058228323 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Burke, Matthew | Agent |
| Name | Role | Address |
|---|---|---|
| Gross, DeShaun | Organizer | 2549 Dunmore DriveBirmingham, AL 35216 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
