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Terena Stidham LLC

Details

Name: Terena Stidham LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Oct 2014 (10 years ago) (Companies founded in October 2014)
Entity Number: 000-321-047
Register Number: 000321047
ZIP code: 35570 (Companies in Marion, 35570)
County: Marion
Place of Formation: Marion County
Registered Office Street Address: 2075 CO HIGHWAY 122HAMILTON, AL 35570

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003204959 2014-12-30 2015-06-22 2075 COUNTY HIGHWAY 122, HAMILTON, AL, 355708414, US 1050 CONVALESCENT RD, VERNON, AL, 355924823, US

Contacts

Phone +1 205-570-8222

Authorized person

Name MRS. TERENA S STIDHAM
Role NURSE PRACTITIONER
Phone 2055708222

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Organizer

Name Role Address
STIDHAM, TERENA Organizer 2075 CO HIGHWAY 122HAMILTON, AL 35570

Agent

Name Role Address
STIDHAM, TERENA Agent 2075 CO HIGHWAY 122HAMILTON, AL 35570

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State