Name: | DCH Encore Rehabilitation, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Nov 2018 (6 years ago) |
Entity Number: | 000-534-798 |
Register Number: | 000534798 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 809 UNIVERSITY BLVD ETUSCALOOSA, AL 35401 |
Registered Office Street Address ZIP Code: | 35401 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093279101 | 2019-01-23 | 2020-12-02 | 251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515, US | 92 MCFARLAND BLVD, NORTHPORT, AL, 354763348, US | |||||||||||||
|
Phone | +1 256-350-1764 |
Authorized person
Name | KELSEY MCNUTT |
Role | CREDENTIALING |
Phone | 2563501764 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BETZ, PAUL | Organizer | 809 UNIVERSITY BLVD ETUSCALOOSA, AL 35401 |
Name | Role |
---|---|
LUKE STANDEFFER | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State