| Name: | Goodwater Healthcare Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Nov 2003 (21 years ago) |
| Entity Number: | 000-695-002 |
| Register Number: | 000695002 |
| County: | Tallapoosa |
| Place of Formation: | Tallapoosa County |
| Principal Address: | DADEVILLE, AL |
| Registered Office Street Address: | 314 WEST COLUMBUS STREETDADEVILLE, AL 36853 |
| Registered Office Street Address ZIP Code: | 36853 |
Activities
OPERATE A SKILLED NURSING FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790268068 | 2018-09-12 | 2022-01-27 | 16 JONES HILL RD, GOODWATER, AL, 350729463, US | 16 JONES HILL RD, GOODWATER, AL, 350729463, US | |||||||||||||||
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| Phone | +1 256-839-6711 |
| Fax | 2568396707 |
Authorized person
| Name | MRS. JULIE WEITHONER |
| Role | BUSINESS OFFICE MANAGER |
| Phone | 2568396711 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CHAPMAN, ARCHIE J | Agent |
| Name | Role |
|---|---|
| PRIME HEALTH CARE ENTERPRISES INC | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
