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Attalla Nursing ADK, LLC

Details

Name: Attalla Nursing ADK, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 10 Feb 2010 (15 years ago) (Companies founded in February 2010)
Entity Number: 000-619-263
Register Number: 000619263
ZIP code: 35954 (Companies in Etowah, 35954)
County: Etowah
Place of Formation: Georgia
Registered Office Street Address: 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104
Principal Address: 915 STEWART AVENUEATTALLA, AL 35954

Activities NURSING HOME

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558356303 2005-09-19 2014-07-29 915 STEWART AVE SE, ATTALLA, AL, 359543610, US 915 STEWART AVE SE, ATTALLA, AL, 359543610, US

Contacts

Phone +1 256-538-7852
Fax 2565387857

Authorized person

Name DAVID RUBENSTEIN
Role COO
Phone 6788695116

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4754040S
State AL

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State