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