| Name: | David Kniola CRNP, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 Dec 2012 (12 years ago) (Companies founded in December 2012) |
| Date of dissolution: | 07 Apr 2017 |
| Entity Number: | 000-271-440 |
| Register Number: | 000271440 |
| ZIP code: | 35096 (Companies in Talladega, 35096) |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Registered Office Street Address: | 825 WOODS FERRY RDLINCOLN, AL 35096 |
Activities
PROVIDE MEDICAL CARE/TREATMENT/DIAGNOSIS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114267739 | 2013-02-19 | 2013-02-19 | 825 WOODS FERRY RD, LINCOLN, AL, 350965874, US | 825 WOODS FERRY RD, LINCOLN, AL, 350965874, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-375-9127 |
| Fax | 6153480109 |
Authorized person
| Name | DAVID KNIOLA |
| Role | PRESIDENT/OWNER |
| Phone | 2563759127 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 1-068065 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| License Number | 1-068065 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 1-068065 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KNIOLA, DAVID | Agent | 825 WOODS FERRY RDLINCOLN, AL 35096 |
| Name | Role | Address |
|---|---|---|
| KNIOLA, DAVID | Organizer | 825 WOODS FERRY RDLINCOLN, AL 35096 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
