| Name: | AL Citronelle, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 06 May 2008 (17 years ago) (Companies founded in May 2008) |
| Entity Number: | 000-615-968 |
| Register Number: | 000615968 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 40 SOUTH PALAFOX PLACE STE 400PENSACOLA, FL 32502 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
ANY LAWFUL PURPOSE UNDER ALABAMA LAW
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033379854 | 2008-06-16 | 2015-10-05 | 40 PALAFOX PL, STE 400, PENSACOLA, FL, 325025699, US | 19225 N 4TH ST, CITRONELLE, AL, 365222051, US | |||||||||||||||||||||
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| Phone | +1 850-430-0000 |
| Phone | +1 334-866-5509 |
Authorized person
| Name | JAMES RICHARDSON |
| Role | PRESIDENT |
| Phone | 8504300000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 475441 |
| 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
