| Name: | Community Care Solutions |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 30 Jun 2014 (10 years ago) |
| Entity Number: | 000-312-909 |
| Register Number: | 000312909 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 1075 SOUTH BRANNON STAND ROADDOTHAN, AL 36305 |
| Principal Address ZIP Code: | 36305 |
Activities
CHARITABLE
RELIGOUS
LITERARY
EDUCATIONAL AND SCIENTIFIC PURPOSES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891246195 | 2016-10-21 | 2019-04-18 | 1075 S BRANNON STAND RD, DOTHAN, AL, 363057359, US | 1075 S BRANNON STAND RD, DOTHAN, AL, 363057359, US | |||||||||||||||||||||||
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| Phone | +1 334-793-6843 |
| Fax | 3346713651 |
Authorized person
| Name | DANA EIDSON |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3347936843 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| License Number | 1-054943 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CULVER, MARK | Director | 306 MONTEZUMA AVENUEDOTHAN, AL 36303 |
| SINGLETON, JODY | Director | 17941 US HIGHWAY 431 SHEADLAND, AL 36345 |
| KRIETEMEYER, LESLIE T | Director | 1011 DEERPATH ROADDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| CROWDER, ROBERT | Agent | 1075 SOUTH BRANNON STAND ROADDOTHAN, AL 36305 |
| Name | Role | Address |
|---|---|---|
| CROWDER, ROBERT | Incorporator | 1075 SOUTH BRANNON STAND ROADDOTHAN, AL 36305 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
