| Name: | Westside Terrace, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Nov 2003 (21 years ago) (Companies founded in November 2003) |
| Entity Number: | 000-694-785 |
| Register Number: | 000694785 |
| ZIP code: | 36117 (Companies in Montgomery, 36117) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 365 INDUSTRIAL PARK BLVDMONTGOMERY, AL 36117 |
Activities
OPERATE SKILLED CARE NURSING FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225012636 | 2005-11-30 | 2010-03-29 | 501 N WOODBURN DR, DOTHAN, AL, 363031995, US | 501 N WOODBURN DR, DOTHAN, AL, 363031995, US | |||||||||||||||||||||||||
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| Phone | +1 334-794-1000 |
| Fax | 3347945287 |
Authorized person
| Name | MRS. RHONDA RENEE TATE |
| Role | COMPTROLLER |
| Phone | 3347941000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10540 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4757960S |
| State | AL |
| Name | Role |
|---|---|
| TURENNE & ASSOCIATES LLC | Member |
| Name | Role | Address |
|---|---|---|
| TURENNE, ROGER W | Agent | 365 INDUSTRIAL PARK BLVDMONTGOMERY, AL 36117 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
