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Alabama Hospice, Inc.

Details

Name: Alabama Hospice, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 12 Jul 2004 (20 years ago)
Date of dissolution: 16 Nov 2010
Entity Number: 000-236-275
Register Number: 000236275
County: Jefferson
Place of Formation: Jefferson County
Principal Address: TRUSSVILLE, AL
Registered Office Street Address: 410 MAIN STTRUSSVILLE, AL 35173
Registered Office Street Address ZIP Code: 35173
Authorized Capital: $10,000
Paid Share Capital: $10,000

Activities HEALTHCARE FOR PATIENTS IN FINAL STAGES OF INCURABLE DISEASE/ETC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033132337 2006-07-26 2020-08-22 PO BOX 279, TRUSSVILLE, AL, 351730279, US 413 MAIN ST STE D, TRUSSVILLE, AL, 351731482, US

Contacts

Phone +1 205-655-0753
Fax 2056550768

Authorized person

Name MRS. TONI L HILL
Role PRESIDENT
Phone 2056550753

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number 11686
State AL
Is Primary Yes

Other Provider Identifiers

Issuer DEPT OF PUBLIC HEALTH
Number E3727
State AL

Agent

Name Role Address
HILL, TONI L Agent 4500 VALLEYDALE ROAD,SUITE 180BIRMINGHAM, AL 35242

Incorporator

Name Role Address
HILL, TONI L Incorporator 4500 VALLEYDALE ROAD,SUITE 180BIRMINGHAM, AL 35242
WADSWORTH, WAYNE SCOTT Incorporator No data
YORK, TOD A Incorporator No data

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State