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