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Prime Professionals Medical LLC

Details

Name: Prime Professionals Medical LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Apr 2022 (3 years ago)
Entity Number: 001-016-860
Register Number: 001016860
ZIP code: 35404
County: Tuscaloosa
Place of Formation: Alabama
Registered Office Street Address: 12 Juanita DriveTuscaloosa, AL 35404

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730906728 2024-09-23 2024-09-23 12 JUANITA DR, TUSCALOOSA, AL, 354043210, US 12 JUANITA DR, TUSCALOOSA, AL, 354043210, US

Contacts

Phone +1 659-333-2458
Fax 2054097733

Authorized person

Name MRS. DEQUESHA S WHITELAW
Role OWNER/OPERATOR
Phone 2058876409

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role
Whitelaw, DeQuesha S Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State