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Family Wellcare Clinic, Inc.

Details

Name: Family Wellcare Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 24 Sep 2008 (16 years ago)
Entity Number: 000-258-815
Register Number: 000258815
ZIP code: 35901
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 408 SOUTH 4TH STGADSDEN, AL 35901
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144470766 2008-09-19 2008-09-19 3504B RAINBOW DR, SUITE 165, RAINBOW CITY, AL, 359066310, US 3504B RAINBOW DR, SUITE 165, RAINBOW CITY, AL, 359066310, US

Contacts

Phone +1 256-393-6054

Authorized person

Name ORLANDO J QUINONEZ
Role PRESIDENT
Phone 2563936054

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
ABEL, LUTHER DICKIE Agent

Incorporator

Name Role
QUINONEZ, ORLANDO J Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State