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Urgent Care On Wheels 1 PLLC

Details

Name: Urgent Care On Wheels 1 PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 13 Aug 2024 (7 months ago)
Entity Number: 001-149-586
Register Number: 001149586
ZIP code: 36852
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 410 Lee Rd 265Cusseta, AL 36852

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487490686 2024-07-08 2024-09-16 410 LEE ROAD 265, CUSSETA, AL, 368522944, US 410 LEE ROAD 265, CUSSETA, AL, 368522944, US

Contacts

Phone +1 334-276-9500

Authorized person

Name MS. DONNA WHALEY
Role NURSE PRACTIONER/OWNER
Phone 3345240705

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
Whaley, Donna Agent 410 Lee Rd 265Cusseta, AL 36852

Organizer

Name Role Address
Whaley, Donna Organizer 410 Lee Rd 265Cusseta, AL 36852

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State