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LongLeaf Health & Rehab LLC

Details

Name: LongLeaf Health & Rehab LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Aug 2019 (5 years ago)
Entity Number: 000-585-599
Register Number: 000585599
County: Shelby
Place of Formation: Jefferson County
Registered Office Street Address: 4000 EAGLE POINT CORPORATE DRIVEBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902447626 2019-10-03 2020-04-17 1300 E SOUTH BLVD, MONTGOMERY, AL, 361162318, US 1300 E SOUTH BLVD, MONTGOMERY, AL, 361162318, US

Contacts

Phone +1 334-593-7724
Fax 3346762233

Authorized person

Name SHALOM LERNER
Role MANAGER
Phone 7185646560

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
CORPORATE CREATIONS NETWORK INC Agent

Organizer

Name Role Address
LERNER, SHALOM Organizer 1820 AVENUE M STE 480BROOKLYN, NY 11230

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State