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C.R. of Shadescrest, LLC

Details

Name: C.R. of Shadescrest, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 31 Aug 2015 (9 years ago) (Companies founded in August 2015)
Entity Number: 000-344-278
Register Number: 000344278
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Georgia
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Principal Address: 331 25th Street WestJasper, AL 35501

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295108009 2015-11-03 2015-11-03 331 25TH ST W, JASPER, AL, 355015828, US 331 25TH ST W, JASPER, AL, 355015828, US

Contacts

Phone +1 205-384-9086
Fax 2053872225

Authorized person

Name MICHAEL E WINGET SR.
Role MEMBER
Phone 4789943669

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
National Registered Agents Inc. Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State