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United States Health & Housing Foundation, Inc.

Details

Name: United States Health & Housing Foundation, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 11 Mar 1988 (37 years ago)
Entity Number: 000-066-269
Register Number: 000066269
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 711 S 29TH STBIRMINGHAM, AL 35223
Registered Office Street Address ZIP Code: 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073591236 2006-01-06 2014-05-23 929 MIXON SCHOOL ROAD, OZARK, AL, 363606174, US 929 MIXON SCHOOL ROAD, OZARK, AL, 363606174, US

Contacts

Phone +1 334-774-2631
Fax 3347744252

Authorized person

Name JUDY SHERRY ROBERTS
Role ADMINISTRATOR
Phone 3347742631

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 10509
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 010577
State AL
Issuer MEDICAID
Number 4754180S
State AL

Incorporator

Name Role
MARX, V HUGO JR Incorporator
MARX, V HUGO III Incorporator
MCGUIRE, LISA Incorporator

Agent

Name Role
MARX, V HUGO III Agent

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State