| Name: | Fairhope Health and Rehab, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Aug 2009 (15 years ago) (Companies founded in August 2009) |
| Entity Number: | 000-618-189 |
| Register Number: | 000618189 |
| Place of Formation: | Georgia |
| Principal Address: | 5402 NEW FORSYTH RD STE CMACON, GA 31210 |
Activities
HEALTHCARE & REHABILITATION FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306179429 | 2009-09-08 | 2014-03-20 | 108 S CHURCH ST, FAIRHOPE, AL, 365322308, US | 108 S CHURCH ST, FAIRHOPE, AL, 365322308, US | |||||||||||||||||||||||||
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| Phone | +1 251-928-2153 |
| Fax | 2519284763 |
Authorized person
| Name | MICHAEL E WINGET SR. |
| Role | MANAGER |
| Phone | 4789943669 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N0201 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-57350S |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
