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
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 | |||||||||||||||||||||||||||||
|
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 |
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