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DCH Encore Rehabilitation, LLC

Details

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

National Provider Identifier

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

Contacts

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

Organizer

Name Role Address
BETZ, PAUL Organizer 809 UNIVERSITY BLVD ETUSCALOOSA, AL 35401

Agent

Name Role
LUKE STANDEFFER Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State