| Name: | Park Place Healthcare LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 May 2023 (a year ago) |
| Entity Number: | 001-079-396 |
| Register Number: | 001079396 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2868 Acton RoadBirmingham, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407547839 | 2023-05-17 | 2023-05-17 | 2868 ACTON RD, VESTAVIA, AL, 352432502, US | 3735 CORPORATE WOODS DR STE 105, VESTAVIA, AL, 352422296, US | |||||||||||||||||||||
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| Phone | +1 205-332-3160 |
| Fax | 8667020880 |
| Phone | +1 205-900-7337 |
Authorized person
| Name | DR. ROBERT TY THOMAS |
| Role | OWNER |
| Phone | 2053323160 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Thomas, Robert T | Agent | 2868 Acton RoadBirmingham, AL 35243 |
| Name | Role | Address |
|---|---|---|
| Thomas, Robert T | Organizer | 2868 Acton RoadBirmingham, AL 35243 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
