| Name: | Rushforth Family Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Jul 2023 (a year ago) |
| Entity Number: | 001-090-779 |
| Register Number: | 001090779 |
| County: | Cullman |
| Place of Formation: | Alabama |
| Principal Mailing Address: | 2019 Austin Drive NECullman, AL 35058 |
| Principal Mailing Address ZIP Code: | 35058 |
| Principal Address: | 1935 Alabama Highway 157Suite CCullman, AL 35058 |
| Principal Address ZIP Code: | 35058 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730966854 | 2023-09-12 | 2024-05-16 | 2019 AUSTIN DR NE, CULLMAN, AL, 350582055, US | 1935 AL HIGHWAY 157, SUITE C, CULLMAN, AL, 350581862, US | |||||||||||||||||
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| Phone | +1 801-660-9367 |
| Phone | +1 256-297-3030 |
| Fax | 2562973301 |
Authorized person
| Name | TYLER JAMES RUSHFORTH |
| Role | PHYSICIAN OWNER |
| Phone | 8016609367 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Rushforth, Tyler J Dr | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
