| Name: | TI - Resurrection Life Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-613-120 |
| Register Number: | 000613120 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Missouri |
| Principal Address: | 7611 STATE LINE RD STE 301KANSAS CITY, MO 64114 |
| Principal Mailing Address: | 1230 PEACHTREE ST NE 300 PROMENADEATLANTA, GA 30309 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
NURSING & RESIDENTIAL CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588862635 | 2007-07-10 | 2021-04-23 | 65 CHARLTON PLACE, DEATSVILLE, AL, 36022, US | 65 CHARLTON PLACE, DEATSVILLE, AL, 36022, US | |||||||||||||||||||||||||||||||
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| Phone | +1 334-263-0618 |
Authorized person
| Name | JOSEPH TUTERA |
| Role | MANAGER |
| Phone | 8664440900 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | D0108 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N0101 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4752130S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
