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Azalea Park Health & Rehab, Inc.

Details

Name: Azalea Park Health & Rehab, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 14 Feb 2017 (8 years ago) (Companies founded in February 2017)
Date of dissolution: 28 Dec 2017
Entity Number: 000-383-558
Register Number: 000383558
ZIP code: 36109 (Companies in Montgomery, 36109)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 100 PERRY HILL RDMONTOMERY, AL 36109
Authorized Capital: 1,000 @ $1/PV

Activities OWN/OPERATE NURSING HOME

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235678152 2017-02-13 2017-02-13 100 PERRY HILL RD, MONTGOMERY, AL, 361093630, US 3312 WOODLEY RD, MONTGOMERY, AL, 361163155, US

Contacts

Phone +1 334-273-9002
Fax 3342739878
Phone +1 334-288-2780

Authorized person

Name CHRISTOPHER SCHMIDT
Role PRESIDENT/CEO
Phone 3345465980

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
State AL
Is Primary Yes

Agent

Name Role Address
SCHMIDT, CHRISTOPHER R Agent 100 PERRY HILL ROADMONTGOMERY, AL 36109

Director

Name Role Address
WALLACE, PAUL A Director 100 PERRY HILL RDMONTOMERY, AL 36109
SCHMIDT, CHRISTOPHER R Director 100 PERRY HILL ROADMONTGOMERY, AL 36109

Incorporator

Name Role Address
MANCUSO, THOMAS G Incorporator 401 MADISON AVENUEMONTGOMERY, AL 36104

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State