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Health & Rehabilitation Specialists, P.C.

Details

Name: Health & Rehabilitation Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 11 Apr 2003 (22 years ago)
Date of dissolution: 17 Oct 2012
Entity Number: 000-228-551
Register Number: 000228551
County: Lee
Place of Formation: Lee County
Principal Address: OPELIKA, AL
Registered Office Street Address: 2200-A GATEWAY DROPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326121930 2006-10-24 2010-06-25 2200 GATEWAY DR STE A, OPELIKA, AL, 368016868, US 2200 GATEWAY DR STE A, OPELIKA, AL, 368016868, US

Contacts

Phone +1 334-745-5200
Fax 3347372091

Authorized person

Name DR. RITA LASHAY HARVEY
Role OWNER/PRESIDENT
Phone 3347455200

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number 00017430
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 051514694
State AL
Issuer MEDICAID
Number 051514694
State AL

Agent

Name Role
HARVEY, RITA L Agent

Incorporator

Name Role
HARVEY, RITA L Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State