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Preferred Health Holdings, LLC

Details

Name: Preferred Health Holdings, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Feb 2002 (23 years ago)
Entity Number: 000-680-443
Register Number: 000680443
County: Cherokee
Place of Formation: Cherokee County
Principal Address: 230 WEST MAIN STREETCENTRE, AL 35960
Principal Address ZIP Code: 35960

Activities NURSING HOME/REHABILITATION FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629065289 2005-09-29 2007-08-17 3120 NORTH ST, GUNTERSVILLE, AL, 359762912, US 3120 NORTH ST, GUNTERSVILLE, AL, 359762962, US

Contacts

Phone +1 256-582-6561

Authorized person

Name JERRY SOUTH
Role ADMINISTRATOR
Phone 2565826561

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 10607
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4757250S
State AL

Agent

Name Role Address
WALKER, JAMES P JR Agent 230 WEST MAIN STREETCENTRE, AL 35960

Organizer

Name Role Address
WALKER, JAMES P JR Organizer 230 WEST MAIN STREETCENTRE, AL 35960

Member

Name Role Address
WALKER, JAMES P JR Member 230 WEST MAIN STREETCENTRE, AL 35960

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State