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Elite Rehab Heflin LLC

Details

Name: Elite Rehab Heflin LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Jan 2023 (2 years ago) (Companies founded in January 2023)
Entity Number: 001-059-944
Register Number: 001059944
ZIP code: 36264 (Companies in Cleburne, 36264)
County: Cleburne
Place of Formation: Alabama
Registered Office Mailing Address: 279 Hunters RidgeTallassee, AL 36078
Registered Office Street Address: 141 Willoughby StreetHeflin, AL 36264

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811603129 2023-01-30 2023-05-10 141 WILLOUGHBY ST, HEFLIN, AL, 362641425, US 141 WILLOUGHBY ST, HEFLIN, AL, 362641425, US

Contacts

Phone +1 256-635-7212
Fax 2565731089

Authorized person

Name PAMELA P VAN ETTEN
Role ADMINISTRATOR
Phone 2566357212

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
CLINTON D MANN Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State