| Name: | Nursing Home Associates of Jacksonville, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 11 Jan 2008 (17 years ago) (Companies founded in January 2008) |
| Date of dissolution: | 26 Oct 2011 |
| Entity Number: | 000-414-482 |
| Register Number: | 000414482 |
| ZIP code: | 36265 (Companies in Calhoun, 36265) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | JACKSONVILLE, AL |
| Registered Office Street Address: | 527 STONEY BROOK DR SWJACKSONVILLE, AL 36265 |
Activities
PROVIDE OPTOMETRIC SERVICES TO RESIDENTS OF NURSING HOMES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659557817 | 2008-01-17 | 2009-02-20 | PO BOX 7756, ROCKY MOUNT, NC, 278040756, US | 1717 CHERRY CIR, ANNISTON, AL, 362076810, US | |||||||||||||||||||||
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| Phone | +1 252-985-1371 |
| Phone | +1 256-453-4383 |
Authorized person
| Name | STEPHEN DOWNEY |
| Role | OPTOMETRIST |
| Phone | 2562381100 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DOWNEY NPI # |
| Number | 1093908618 |
| State | AL |
| Name | Role |
|---|---|
| CHANDLER, DAVID G | Agent |
| Name | Role |
|---|---|
| CHANDLER, DAVID G | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
