Name: | Arbor Springs Health and Rehab Center, Ltd. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Partnership |
Status: | Exists |
Date of registration: | 02 Mar 2009 (16 years ago) |
Entity Number: | 000-504-883 |
Register Number: | 000504883 |
County: | Lee |
Place of Formation: | Lee County |
Principal Address: | 495 LEE ROAD 14AUBURN, AL 36830 |
Principal Address ZIP Code: | 36830 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376782177 | 2009-02-18 | 2024-03-28 | 1910 PEPPERELL PKWY, OPELIKA, AL, 368015440, US | 1910 PEPPERELL PKWY, OPELIKA, AL, 368015440, US | |||||||||||||||||||||||||
|
Phone | +1 334-749-1471 |
Fax | 3347491969 |
Authorized person
Name | MR. JONATHAN MARCUS TRAYLOR |
Role | ADMINISTRATOR |
Phone | 3347491471 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | N4103 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 4755900S |
State | AL |
Name | Role | Address |
---|---|---|
TRAYLOR-PORTER HEALTH CARE INC | Agent | 495 LEE ROAD 14AUBURN, AL 36830 |
Name | Role | Address |
---|---|---|
TRAYLOR-PORTER HEALTH CARE INC | General Partner | 495 LEE ROAD 14AUBURN, AL 36830 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State