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Rejuvaah & Revvived, LLC

Headquarter

Details

Name: Rejuvaah & Revvived, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Aug 2022 (2 years ago)
Entity Number: 001-035-847
Register Number: 001035847
ZIP code: 36602
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 11 North Water Street Suite 10290 PMB #113Mobile, AL 36602

Links between entities

Type Company Name Company Number State
Headquarter of Rejuvaah & Revvived, LLC, MISSISSIPPI 1354571 MISSISSIPPI

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114623675 2023-02-06 2023-02-06 820 S UNIVERSITY BLVD STE 2K, MOBILE, AL, 366097860, US 820 S UNIVERSITY BLVD STE 2K, MOBILE, AL, 366097860, US

Contacts

Phone +1 251-277-7373
Fax 2512777376

Authorized person

Name DR. LAWANDA SHAREE FANTROY
Role CO-FOUNDER
Phone 2282356015

Taxonomy

Taxonomy Code 261QI0500X - Infusion Therapy Clinic/Center
Is Primary Yes

Agent

Name Role
Cardio-Pulmonary Rehabilitation, LLC Agent

Organizer

Name Role Address
Fantroy, Lawanda S Organizer 4361 TERRACE DRMOSS POINT, MS 39563

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State