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Southern Wellness LLC

Details

Name: Southern Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jul 2015 (9 years ago)
Entity Number: 000-340-854
Register Number: 000340854
ZIP code: 35124
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 2969-C PELHAM PARKWAYPELHAM, AL 35124

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437527009 2015-09-12 2024-10-25 321 1ST ST N, ALABASTER, AL, 350078768, US 321 1ST ST N, ALABASTER, AL, 350078768, US

Contacts

Phone +1 205-624-4325
Fax 2056206776

Authorized person

Name REBECCA HALECHKO
Role OWNER
Phone 2056244325

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
HALECHKO, REBECCA Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State