| Name: | Magnolia Medical House Calls, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Series Ltd. Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jun 2024 (5 months ago) (Companies founded in June 2024) |
| Entity Number: | 001-142-925 |
| Register Number: | 001142925 |
| ZIP code: | 36744 (Companies in Hale, 36744) |
| County: | Hale |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 850 TUSCALOOSA STREET, SUITE AGREENSBORO, AL 36744 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326870361 | 2024-08-19 | 2024-08-19 | 850 TUSCALOOSA ST STE A, GREENSBORO, AL, 367441562, US | 850 TUSCALOOSA ST STE A, GREENSBORO, AL, 367441562, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 601-832-0662 |
Authorized person
| Name | LAUREN ELIZABETH GODDARD |
| Role | OWNER/PRESIDENT |
| Phone | 6018320662 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAUREN GODDARD | Agent | 910 RIVER RANCH ROADGALLION, AL 36742 |
| Name | Role | Address |
|---|---|---|
| LAUREN GODDARD | Member | 910 RIVER RANCH ROADGALLION, AL 36742 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
