| Name: | Aliceville Manor Nursing Home, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 May 2016 (8 years ago) |
| Entity Number: | 000-363-204 |
| Register Number: | 000363204 |
| County: | Blount |
| Place of Formation: | Blount County |
| Principal Address: | 111 1ST AVENUE EASTONEONTA, AL 35121 |
| Principal Address ZIP Code: | 35121 |
| Authorized Capital: | 1,000 @ $1.00PV |
Activities
FOR THE PURPOSE OF OPERATING SKILLED NURSING FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407205396 | 2016-06-10 | 2016-06-10 | 111 1ST AVE E, ONEONTA, AL, 351211708, US | 703 17TH ST NW, ALICEVILLE, AL, 354421426, US | |||||||||||||||||||||||
|
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| Phone | +1 205-625-5049 |
| Fax | 2056255056 |
| Phone | +1 205-373-6307 |
| Fax | 2053732737 |
Authorized person
| Name | MARK S SIMS |
| Role | PRESIDENT |
| Phone | 2053535290 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N5402 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIMS, MARK S | Agent | 111 FIRST AVENUE EASTONEONTA, AL 35121 |
| Name | Role | Address |
|---|---|---|
| SIMS, MARK S | Director | 111 FIRST AVENUE EASTONEONTA, AL 35121 |
| Name | Role | Address |
|---|---|---|
| SIMS, MARK S | Incorporator | 111 FIRST AVENUE EASTONEONTA, AL 35121 |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
