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HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC

Details

Name: HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Jul 2014 (10 years ago) (Companies founded in July 2014)
Entity Number: 000-313-781
Register Number: 000313781
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Choctaw County
Registered Office Street Address: 212 W TROY ST STE BDOTHAN, AL 36303

Activities HOSPICE CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235530338 2014-09-08 2018-08-16 10888 CRABAPPLE ROAD, ROSWELL, GA, 30075, US 104 CARMELLIA AVE, SUITE A, GREENVILLE, AL, 36037, US

Contacts

Phone +1 678-966-0077
Fax 7704413086
Phone +1 334-371-2450
Fax 3343712455

Authorized person

Name MAHLEGA ABDSHAARAFAT
Role CEO
Phone 6789660077

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number E1803
State AL
Is Primary Yes

Agent

Name Role Address
REGISTERED AGENTS INC Agent 212 W. TROY ST. STE BDOTHAN, AL 36303

Organizer

Name Role Address
SIHA, MARSHA Organizer 17350 STATE HWY 249, SUITE 220HOUSTON, TX 77064

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State