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