Name: | Hospice of Limestone County, Incorporated |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 02 Mar 1988 (37 years ago) |
Entity Number: | 000-066-254 |
Register Number: | 000066254 |
Place of Formation: | Limestone County |
Principal Address: | ATHENS, AL |
Registered Office Street Address: | 116 W MARKET STREETATHENS, AL |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487657375 | 2005-05-24 | 2010-02-04 | PO BOX 626, ATHENS, AL, 35612, US | 405 S MARION ST, ATHENS, AL, 35611, US | |||||||||||||||||||||||||
|
Phone | +1 256-232-5017 |
Fax | 2562300085 |
Authorized person
Name | MRS. PATRICIA P KING |
Role | EXECUTIVE DIRECTOR |
Phone | 2562325017 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 10240 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | PIC1516E |
State | AL |
Name | Role |
---|---|
ASKEW, STEPHEN | Agent |
Name | Role |
---|---|
ASKEW, STEPHEN | Incorporator |
CRAIG, GEORGE | Incorporator |
HANEY, LINDA | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State