| Name: | BLUE RIDGE HEALTHCARE WILLOW TRACE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Oct 2017 (7 years ago) (Companies founded in October 2017) |
| Entity Number: | 000-406-008 |
| Register Number: | 000406008 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942711304 | 2017-10-12 | 2019-03-25 | 1406 E PUSHMATAHA ST, BUTLER, AL, 369042728, US | 1406 E PUSHMATAHA ST, BUTLER, AL, 369042728, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-459-5506 |
Authorized person
| Name | ADMINISTRATOR ADMINISTRATOR |
| Role | ADMINISTRATOR |
| Phone | 2054595506 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| RUDD, LEVI Y | Organizer | 2700 NORTH 29TH AVENUE SUITE 308HOLLYWOOD, FL 33020 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
