| Name: | ABODE CARE PARTNERS LTC VB, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Aug 2013 (11 years ago) |
| Entity Number: | 001-103-549 |
| Register Number: | 001103549 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 805 N WHITTINGTON PARKWAY SUITE 400LOUISVILLE, KY 40222 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740050616 | 2024-01-03 | 2024-01-03 | 805 N WHITTINGTON PKWY, LOUISVILLE, KY, 402227101, US | 105 TEAKWOOD DR SW, HUNTSVILLE, AL, 358013454, US | |||||||||||||
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| Phone | +1 256-881-5000 |
Authorized person
| Name | SARAH ALTSTADT |
| Role | PROVIDER ENROLLMENT SPECIALIST |
| Phone | 5026307494 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
