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Mo Enterprises & Co., LLC

Details

Name: Mo Enterprises & Co., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Nov 2023 (a year ago) (Companies founded in November 2023)
Entity Number: 001-108-508
Register Number: 001108508
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 545 West Main Street, Suite 100Dothan, AL 36301

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760425011 2006-06-14 2022-11-01 2701 4TH AVE S, BIRMINGHAM, AL, 352332707, US 2701 4TH AVE S, BIRMINGHAM, AL, 352332707, US

Contacts

Phone +1 205-251-8676
Fax 2052518677

Authorized person

Name DR. JEB F MITCHELL
Role OWNER
Phone 2052518676

Taxonomy

Taxonomy Code 251F00000X - Home Infusion Agency
Is Primary No
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary No
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
License Number 112191
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 009908075
State AL
Issuer BLUE CROSS ALABAMA DME
Number 51512591
State AL
Issuer BLUE CROSS AL HOME HEALTH
Number 51513268
State AL
Issuer MEDICAID
Number 100003408
State AL

Agent

Name Role
Robinson, Shamaya A Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State