| Name: | Sweet Home Telehealth, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Nov 2020 (4 years ago) |
| Entity Number: | 000-822-517 |
| Register Number: | 000822517 |
| ZIP code: | 35824 |
| County: | Madison |
| Place of Formation: | Wyoming |
| Principal Address: | 1309 Coffeen Avenue Suite 1200Sheridan, WY 82801 |
| Principal Mailing Address: | 3 Sudworth Drive SWHuntsville, AL 35824 |
| Registered Office Street Address: | 130 FOREST BROOK DRIVEMADISON, AL 35759 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679174320 | 2020-11-07 | 2020-11-07 | 1309 COFFEEN AVE STE 1200, SHERIDAN, WY, 828015777, US | 3 SUDWORTH DR SW, HUNTSVILLE, AL, 358244099, US | |||||||||||||||||
|
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| Phone | +1 256-690-6420 |
Authorized person
| Name | DR. JILL ANDREASE HOWARD |
| Role | NURSE PRACTITIONER |
| Phone | 2566906420 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| MARTIN, PAMELA | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
