| Name: | Tallassee Rehab, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Feb 1998 (27 years ago) |
| Entity Number: | 000-194-106 |
| Register Number: | 000194106 |
| ZIP code: | 36078 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | TALLASSEE, AL |
| Registered Office Street Address: | 1524 GILMER AVETALLASSEE, AL 36078 |
| Authorized Capital: | $1,000 |
Activities
REHABILITATION SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952001976 | 2023-03-08 | 2024-11-07 | 7697 UPPER RIVER RD, TALLASSEE, AL, 360783453, US | 36 KOWALIGA RD, STE 11, ECLECTIC, AL, 360245618, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 334-541-2199 |
| Fax | 3345415013 |
Authorized person
| Name | PAMELA VAN ETTEN |
| Role | ADMINISTRATOR |
| Phone | 3345412199 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TALLASSEE REHAB P. C. 401(K) PLAN | 2022 | 631193409 | 2023-04-20 | TALLASSEE REHAB P.C. | 52 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-04-20 |
| Name of individual signing | JUSTIN CRAIN |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3342838032 |
| Plan sponsor’s address | 1007 BURTON ROAD, TALLASSEE, AL, 36078 |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3342838032 |
| Plan sponsor’s address | 1007 BURTON ROAD, TALLASSEE, AL, 36078 |
| Name | Role |
|---|---|
| CRAIN, TOM | Agent |
| Name | Role |
|---|---|
| CRAIN, TOM | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
