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Robertsdale Nursing Home, Inc.

Details

Name: Robertsdale Nursing Home, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 Dec 1998 (26 years ago)
Entity Number: 000-199-636
Register Number: 000199636
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: ONE SOUTHERN WAYMOBILE, AL 36619
Registered Office Street Address ZIP Code: 36619
Authorized Capital: $50

Activities OPERATE A SKILLED NURSING HOME FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609276245 2014-09-02 2014-09-02 602 AUBURN STREET, TUSKEGEE, AL, 360831585, US 18700 US HIGHWAY 90, ROBERTSDALE, AL, 365673271, US

Contacts

Phone +1 334-727-2944
Phone +1 251-947-7243
Fax 2519477245

Authorized person

Name MR. CLARENCE M BALL JR.
Role CEO
Phone 3347272944

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
BALL, CLARENCE M JR Agent ONE SOUTHERN WAYMOBILE, AL 36619

Incorporator

Name Role Address
BALL, CLARENCE M JR Incorporator ONE SOUTHERN WAYMOBILE, AL 36619

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State