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Abide Health & Wellness, LLC

Details

Name: Abide Health & Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 May 2023 (a year ago) (Companies founded in May 2023)
Entity Number: 001-081-852
Register Number: 001081852
ZIP code: 36305 (Companies in Houston, 36305)
County: Houston
Place of Formation: Alabama
Principal Address: 3113 Wesley WaySuite 2Dothan, AL 36305
Registered Office Street Address: 445 Overby PlaceDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144905985 2023-06-20 2023-12-06 3113 WESLEY WAY STE 2, DOTHAN, AL, 363052004, US 3113 WESLEY WAY STE 2, DOTHAN, AL, 363052004, US

Contacts

Phone +1 334-203-4145
Fax 3342450335

Authorized person

Name JUANITA TITRUD HEERSINK
Role MEDICAL DIRECTOR
Phone 2058076482

Taxonomy

Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary Yes

Agent

Name Role
Heersink, Juanita Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State