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Blue Ridge Healthcare Montgomery, LLC

Details

Name: Blue Ridge Healthcare Montgomery, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2017 (7 years ago) (Companies founded in October 2017)
Entity Number: 000-404-919
Register Number: 000404919
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407368608 2017-10-27 2019-03-25 4490 VIRGINIA LOOP RD, MONTGOMERY, AL, 361163448, US 4490 VIRGINIA LOOP RD, MONTGOMERY, AL, 361163448, US

Contacts

Phone +1 334-281-6826
Fax 3342816901

Authorized person

Name MR. ADMINISTRATOR ADMINISTRATOR
Role ADMINISTRATOR
Phone 3342816826

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role Address
TORREZ, MEGAN Organizer 1127 BROADWAY STREET NE SUITE 310SALEM, OR 97301

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State