| Name: | Fall Injury Prevention and Rehabilitation Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Oct 2014 (10 years ago) (Companies founded in October 2014) |
| Entity Number: | 000-320-353 |
| Register Number: | 000320353 |
| Place of Formation: | Jefferson County |
| Principal Address: | 1547 DELTON PLACEBIRMINGHAM, AL 35228-3262 |
Activities
TO PROMOTE AND IMPROVE THE SAFETY OF OLDER AMERICANS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376911065 | 2015-09-11 | 2015-09-11 | 7001 CRESTWOOD BLVD, SUITE 804, IRONDALE, AL, 352102332, US | 7001 CRESTWOOD BLVD, SUITE 804, IRONDALE, AL, 352102332, US | |||||||||||||||||||||||
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| Phone | +1 205-518-6421 |
Authorized person
| Name | MRS. CASSANDRA WARNER FRIESON |
| Role | CLINICAL DIRECTOR |
| Phone | 2055186421 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| License Number | 1056275 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000031454 |
| State | AL |
| Name | Role |
|---|---|
| FRIESON, CASSANDRA W | Agent |
| Name | Role | Address |
|---|---|---|
| FRIESON, CASSANDRA WARNER | Organizer | 1547 DELTON PLACEBIRMINGHAM, AL 35228-3262 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
