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
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 | |||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
HARVEY, RITA L | Agent |
Name | Role |
---|---|
HARVEY, RITA L | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State