| Name: | ADL Occupational Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Mar 2016 (9 years ago) (Companies founded in March 2016) |
| Entity Number: | 000-358-676 |
| Register Number: | 000358676 |
| ZIP code: | 35768 (Companies in Jackson, 35768) |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 305 WEST PEACHTREE STREET,SUITE BSCOTTSBORO, AL 35768 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285097147 | 2016-03-29 | 2019-03-04 | 305 W PEACHTREE ST, SUITE B, SCOTTSBORO, AL, 357684360, US | 305 W PEACHTREE ST, SUITE B, SCOTTSBORO, AL, 357684360, US | |||||||||||||||||||||
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| Phone | +1 256-609-6946 |
| Fax | 2569120460 |
Authorized person
| Name | HILLIARY BAILEY |
| Role | OWNER |
| Phone | 2566096946 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 184459 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BAILEY, HILLIARY | Agent | 251 MCCLENDON DRSCOTTSBORO, AL 35768 |
| Name | Role | Address |
|---|---|---|
| BAILEY, HILLIARY | Member | 251 MCCLENDON DRSCOTTSBORO, AL 35768 |
| BAILEY, DAVID | Member | 968 COUNTY RD 443DAWSON, AL 35963 |
| Name | Role | Address |
|---|---|---|
| AYERS, LISA | Organizer | 305 WEST PEACHTREE STREET.SUITE BSCOTTSBORO, AL 35768 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
