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Active Health and Rehab, L.L.C.

Details

Name: Active Health and Rehab, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 25 Sep 2003 (21 years ago)
Date of dissolution: 20 Dec 2016
Entity Number: 000-693-569
Register Number: 000693569
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 4057 HICKORY DRMONTGOMERY, AL 36109
Registered Office Street Address ZIP Code: 36109

Activities INVESTMENTS/OPERATE/MANAGE/LEASE/DEVELOP PROPERTY OWNED BY CO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316001449 2006-12-21 2020-08-22 3442 EASTDALE CIR, MONTGOMERY, AL, 361172163, US 3442 EASTDALE CIR, MONTGOMERY, AL, 361172163, US

Contacts

Phone +1 334-279-5757
Fax 3342791257

Authorized person

Name MR. IRA LANE BLONDHEIM
Role OWNER, THERAPIST
Phone 3342795757

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PTH3183
State AL
Is Primary Yes

Agent

Name Role
BLONDHEIM, LANE Agent

Member

Name Role
BLONDHEIM, LANE Member
BLONDHEIM, BARRY Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State