| Name: | Delta Health Group, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Withdrawn |
| Date of registration: | 10 Feb 1994 (31 years ago) (Companies founded in February 1994) |
| Entity Number: | 000-901-273 |
| Register Number: | 000901273 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 1201 MARKET STREET SUITE 1401WILMINGTON, DE 19801 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
ANY LAWFUL ACT OR ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437141355 | 2005-08-17 | 2020-08-22 | 2 N PALAFOX ST, PENSACOLA, FL, 325025631, US | 19225 N 4TH ST, CITRONELLE, AL, 365222051, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-430-0000 |
| Fax | 8504366766 |
| Phone | +1 251-866-5509 |
| Fax | 2518665999 |
Authorized person
| Name | SCOTT J BELL |
| Role | CEO PRESIDENT |
| Phone | 8504300000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10612 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-54410S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
