| Name: | Golden Pediatric Therapy Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Feb 2024 (9 months ago) (Companies founded in February 2024) |
| Entity Number: | 001-122-859 |
| Register Number: | 001122859 |
| ZIP code: | 36064 (Companies in Montgomery, 36064) |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 84 Chapel Hill StreetPike Road, AL 36064 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669221131 | 2024-05-16 | 2024-05-16 | 84 CHAPEL HILL ST, PIKE ROAD, AL, 360643859, US | 84 CHAPEL HILL ST, PIKE ROAD, AL, 360643859, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 334-322-5530 |
Authorized person
| Name | MRS. MORGAN VANGILDER |
| Role | CO-OWNER, OCCUPATIONAL THERAPIST |
| Phone | 3343225530 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1225736754 |
| State | AL |
| Issuer | MEDICAID |
| Number | 1235835323 |
| State | AL |
| Name | Role |
|---|---|
| VanGilder, Morgan L | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
