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Elite Rehab Holtville LLC

Details

Name: Elite Rehab Holtville LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Mar 2022 (3 years ago) (Companies founded in March 2022)
Entity Number: 001-009-258
Register Number: 001009258
ZIP code: 36022 (Companies in Elmore, 36022)
County: Elmore
Place of Formation: Alabama
Registered Office Street Address: 213 Lightwood Road STE 2Deatsville, AL 36022

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649913120 2022-04-14 2022-04-14 213 LIGHTWOOD RD STE 2, DEATSVILLE, AL, 36022, US 213 LIGHTWOOD RD STE 2, DEATSVILLE, AL, 36022, US

Contacts

Phone +1 334-543-4269
Fax 3345434272

Authorized person

Name PAMELA P VAN ETTEN
Role ADMINISTRATOR
Phone 3347995853

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
Mann Management, LLC Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State