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Premier Mastectomy Vendor LLC

Details

Name: Premier Mastectomy Vendor LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 02 May 2023 (2 years ago) (Companies founded in May 2023)
Date of dissolution: 13 Sep 2024
Entity Number: 001-077-155
Register Number: 001077155
Historical Names: BREAST & BODY RESTORATIVE WELLNESS SPA LLC
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 181 W VALLEY AVE STE 245BIRMINGHAM, AL 35209
Principal Address: 5911 Monticello Dr.Suite BMontgomery, AL 36117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699458380 2023-08-09 2023-12-20 5911 MONTICELLO DR STE B, MONTGOMERY, AL, 361171940, US 5911 MONTICELLO DR STE B, MONTGOMERY, AL, 361171940, US

Contacts

Phone +1 629-279-5720

Authorized person

Name MS. JASMINE BEAN
Role CO-OWNER
Phone 6292795270

Taxonomy

Taxonomy Code 224900000X - Mastectomy Fitter
Is Primary Yes
Taxonomy Code 225700000X - Massage Therapist
Is Primary No

Organizer

Name Role Address
DOBSON, LOVETTE Organizer 17350 STATE HWY 249 #220HOUSTON, TX 77064

Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Agent

Member

Name Role Address
Jasmine Bean Member 5911 Monticello Dr.Montgomery, AL 36117
Lucinda Rawls Member 5911 Monticello Dr.Montgomery, AL 36117

Events

Event Date Event Type Old Value New Value
2023-12-18 Name Change BREAST & BODY RESTORATIVE WELLNESS SPA LLC Premier Mastectomy Vendor LLC

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State