| Name: | Genesis Rehab, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 10 Jun 2005 (19 years ago) (Companies founded in June 2005) |
| Entity Number: | 000-241-962 |
| Register Number: | 000241962 |
| ZIP code: | 36732 (Companies in Marengo, 36732) |
| County: | Marengo |
| Place of Formation: | Marengo County |
| Principal Address: | DEMOPOLIS, AL |
| Registered Office Street Address: | 1307 PHILLIPS DRDEMOPOLIS, AL 36732 |
| Authorized Capital: | $5,000 |
Activities
PHYSICAL THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356590848 | 2008-09-09 | 2008-09-09 | 1351 US HIGHWAY 80 W, DEMOPOLIS, AL, 367324125, US | 508 GREEN ST, GREENSBORO, AL, 367442316, US | |||||||||||||||||||||||||
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| Phone | +1 334-289-5696 |
| Fax | 3342895578 |
Authorized person
| Name | MR. WILLIAM J HOLMAN |
| Role | PRESIDENT |
| Phone | 3342895696 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH3269 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529927890 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HOLMAN, WILLIAM | Incorporator | 905 BURT ROSENBUSH ROADDEMOPOLIS, AL 36732 |
| HOLMAN, KRISTI | Incorporator | 905 BURT ROSENBUSH ROADDEMOPOLIS, AL 36732 |
| Name | Role | Address |
|---|---|---|
| HOLMAN, WILLIAM | Agent | 905 BURT ROSENBUSH ROADDEMOPOLIS, AL 36732 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
