| Name: | Private Duty Nursing Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 05 Jan 1996 (29 years ago) (Companies founded in January 1996) |
| Entity Number: | 000-176-838 |
| Register Number: | 000176838 |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 1532 WOLVERINE DR SEDECATUR, AL |
| Authorized Capital: | $1,000,000 |
| Paid Share Capital: | $100 |
Activities
RENDER PROFESSIONAL PRIVATE DUTY NURSING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275707028 | 2008-04-14 | 2008-04-14 | 317 W STATE ST, MUSCLE SHOALS, AL, 356612835, US | 317 W STATE ST, MUSCLE SHOALS, AL, 356612835, US | |||||||||||||||||||||||
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| Phone | +1 256-355-1811 |
Authorized person
| Name | MRS. SHERRY A STANDRIDGE |
| Role | ACCOUNTING MANAGER |
| Phone | 2563551811 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 04825 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PVT0069Z |
| State | AL |
| Name | Role |
|---|---|
| WALLACE, NITA FRENZEL | Agent |
| Name | Role |
|---|---|
| WALLACE, NITA FRENZEL | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
