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Innovative Nutrition LLC

Details

Name: Innovative Nutrition LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Oct 2020 (4 years ago)
Entity Number: 000-816-780
Register Number: 000816780
ZIP code: 36695
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 2889 SOLLIE RD APT 303MOBILE, AL 36695

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023610615 2020-11-10 2020-11-10 2889 SOLLIE RD APT 303, MOBILE, AL, 366955535, US 100 MEMORIAL HOSPITAL DR STE 3C, MOBILE, AL, 366081185, US

Contacts

Phone +1 205-305-2840
Phone +1 251-272-9654
Fax 2512434942

Authorized person

Name MRS. BROOKE GACEK
Role OWNER
Phone 2053052840

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
Is Primary Yes

Agent

Name Role
GACEK, BROOKE A Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State