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REVIVE 3.23, LLC

Details

Name: REVIVE 3.23, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 May 2023 (2 years ago) (Companies founded in May 2023)
Entity Number: 001-079-240
Register Number: 001079240
Place of Formation: Alabama
Registered Office Street Address: 301 8th PlPleasant Grove, AL 35127-1829

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821778788 2023-07-24 2023-07-24 301 8TH PL, PLEASANT GROVE, AL, 351271829, US 200 BEACON PKWY W STE 101, BIRMINGHAM, AL, 352093102, US

Contacts

Phone +1 205-215-4211

Authorized person

Name MRS. JOI IMAN GRESHAM
Role OWNER
Phone 2052154211

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Gresham, Joi I Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State