| Name: | Mountain Home Birth & Midwifery LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jul 2020 (4 years ago) |
| Entity Number: | 001-061-584 |
| Register Number: | 001061584 |
| County: | De Kalb |
| Place of Formation: | Georgia |
| Principal Address: | 1825 Glenn BLVD SW #166Fort Payne, AL 35968 |
| Principal Address ZIP Code: | 35968 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295321552 | 2020-12-21 | 2023-05-20 | 1825 GLENN BLVD SW # 166, FORT PAYNE, AL, 359683533, US | 1949 GAULT AVE N STE 104, FORT PAYNE, AL, 359673483, US | |||||||||||||||
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| Phone | +1 256-330-7008 |
| Fax | 7069845395 |
Authorized person
| Name | MS. BEVERLY MARIA CRANFORD |
| Role | OWNER |
| Phone | 2563307008 |
Taxonomy
| Taxonomy Code | 261QB0400X - Birthing Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Cranford, Beverly M | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
