| Name: | Elixir Health Direct Primary Care, LLC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Feb 2023 (2 years ago) |
| Entity Number: | 001-064-489 |
| Register Number: | 001064489 |
| ZIP code: | 35178 |
| County: | Shelby |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 387 Hidden Mountain LaneVincent, AL 35178 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053131532 | 2024-10-10 | 2024-10-10 | 84 CROPWELL DR, PELL CITY, AL, 351287552, US | 84 CROPWELL DR, PELL CITY, AL, 351287552, US | |||||||||||||||
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| Phone | +1 205-606-4273 |
| Fax | 2057519639 |
Authorized person
| Name | DR. SAMUEL WILLIS |
| Role | OWNER |
| Phone | 2056064273 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Willis, Samuel C | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
