| Name: | ANGEL WING RESIDENTIAL CARE HOME, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Mar 2015 (10 years ago) (Companies founded in March 2015) |
| Entity Number: | 000-331-636 |
| Register Number: | 000331636 |
| ZIP code: | 36732 (Companies in Marengo, 36732) |
| County: | Marengo |
| Place of Formation: | Marengo County |
| Registered Office Mailing Address: | 102 EAST JEFFERSON STREETNOT PROVIDED, AL |
| Registered Office Street Address: | 803 FLOYD AVEDEMOPOLIS, AL 36732 |
Activities
NOT PROVIDED
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PT74BQ6SKAT1 | 2024-09-08 | 803 FLOYD AVE, DEMOPOLIS, AL, 36732, 3157, USA | 803 FLOYD AVE, DEMOPOLIS, AL, 36732, 3157, USA | |||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | ANGELWING RESIDENTIAL CARE HOME LLC |
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-09-12 |
| Initial Registration Date | 2015-09-13 |
| Entity Start Date | 2015-04-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACQUELINE T WALLS |
| Role | OWNER |
| Address | 803 FLOYD AVENUE, DEMOPOLIS, AL, 36732, 3157, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACQUELINE T WALLS |
| Role | OWNER |
| Address | 803 FLOYD AVENUE, DEMOPOLIS, AL, 36732, 3157, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497293559 | 2017-02-08 | 2017-02-08 | 803 FLOYD AVE, DEMOPOLIS, AL, 367323157, US | 803 FLOYD AVE, DEMOPOLIS, AL, 367323157, US | |||||||||||||
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| Phone | +1 334-349-6916 |
Authorized person
| Name | JACQUELINE THOMAS WALLS |
| Role | OWNER |
| Phone | 3343496916 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7GDA7 | Active | Non-Manufacturer | 2015-09-24 | 2024-08-07 | 2029-08-07 | 2025-08-05 | |||||||||||||
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| POC | JACQUELINE T. WALLS |
| Phone | +1 334-375-0899 |
| Address | 803 FLOYD AVE, DEMOPOLIS, MARENGO, AL, 36732 3157, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| THOMAS-WALLS, JACQUELINE | Agent |
| Name | Role |
|---|---|
| THOMAS-WALLS, JACQUELINE | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
