Name: | On-Sight Continence Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Foreign Limited Liability Company |
Status: | Withdrawn |
Date of registration: | 19 Dec 2006 (18 years ago) (Companies founded in December 2006) |
Entity Number: | 000-617-864 |
Register Number: | 000617864 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | North Carolina |
Principal Address: | 800 TIFFANY BLVD STE 101ROCKY MOUNT, NC 27804 |
Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
NURSING HOME CONTINENCE SERVICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427254176 | 2007-06-21 | 2008-05-22 | PO BOX 7396, ROCKY MOUNT, NC, 278040396, US | 2022 BROOKWOOD MEDICAL CTR DR, SUITE 305, BIRMINGHAM, AL, 352096808, US | |||||||||||||||||||
|
Phone | +1 252-985-1371 |
Authorized person
Name | JOHN F FORBIS |
Role | CFO |
Phone | 2529851371 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RR MEDICARE GROUP |
Number | DG7431 |
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