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Chandler Health & Rehab Center, LLC

Details

Name: Chandler Health & Rehab Center, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 19 Feb 2008 (17 years ago) (Companies founded in February 2008)
Entity Number: 000-615-071
Register Number: 000615071
ZIP code: 35007 (Companies in Shelby, 35007)
County: Shelby
Place of Formation: Georgia
Principal Address: 850 NW 9TH STALABASTER, AL 35007

Activities NURSING HOME FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457566390 2007-05-14 2015-03-02 850 9TH STREET NW, ALABASTER, AL, 350079179, US 850 9TH STREET NW, ALABASTER, AL, 350079179, US

Contacts

Phone +1 205-663-3859
Fax 2056639791
Phone +1 205-663-9791
Fax 2056633859

Authorized person

Name MICHAEL WINGET SR.
Role MANAGER
Phone 4789943669

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 12790
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4754170S
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State