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Delta Rehab Services LLC

Details

Name: Delta Rehab Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2018 (6 years ago) (Companies founded in October 2018)
Entity Number: 000-532-032
Register Number: 000532032
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 7956 VAUGHN ROAD SUITE 202MONTGOMERY, AL 36116

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
QMFECKUC59Y1 2024-07-05 445 DEXTER AVE, STE 4050, MONTGOMERY, AL, 36104, 3867, USA 7956 VAUGHN ROAD STE 202, 1460 ANN STREET SUITE O, MONTGOMERY, AL, 36116, 6625, USA

Business Information

Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2023-07-10
Initial Registration Date 2018-11-22
Entity Start Date 2018-05-14
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621340, 624190

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KIMBERLY N JORDAN
Role DR
Address 7956 VAUGHN ROAD STE 202, MONTGOMERY, AL, 36116, USA
Government Business
Title PRIMARY POC
Name KIMBERLY N JORDAN
Role DR
Address 7956 VAUGHN ROAD STE 202, MONTGOMERY, AL, 36116, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245720002 2018-05-16 2018-05-16 7956 VAUGHN RD STE 202, MONTGOMERY, AL, 361166625, US 7956 VAUGHN RD STE 202, MONTGOMERY, AL, 361166625, US

Contacts

Phone +1 334-392-9214

Authorized person

Name DR. KIMBERLY NACOLE JORDAN
Role CEO/OCCUPATIONAL THERAPIST
Phone 3343929214

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
JORDAN, KIMBERLY Agent 7956 VAUGHN ROAD SUITE 202MONTGOMERY, AL 36116

Organizer

Name Role Address
JORDAN, KIMBERLY Organizer 7956 VAUGHN ROAD SUITE 202MONTGOMERY, AL 36116

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State