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Liberty Physical, LLC

Details

Name: Liberty Physical, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Apr 2024 (7 months ago) (Companies founded in April 2024)
Entity Number: 001-133-569
Register Number: 001133569
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Alabama
Registered Office Street Address: 521 Alston Park DriveVestavia, AL 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366277980 2024-09-04 2024-09-04 521 ALSTON PARK DR, VESTAVIA, AL, 352427425, US 521 ALSTON PARK DR, VESTAVIA, AL, 352427425, US

Contacts

Phone +1 205-482-8077

Authorized person

Name DR. JAMES CLAY HIGGINBOTHAM
Role CEO
Phone 2054828077

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role
Higginbotham, James C Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State