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Encore Performance Rehab, LLC

Details

Name: Encore Performance Rehab, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 25 Feb 2016 (9 years ago)
Date of dissolution: 15 Nov 2018
Entity Number: 000-355-065
Register Number: 000355065
ZIP code: 36602
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: RSA TOWER,SUITE 30200 11 N WATER STMOBILE, AL 36602
Registered Office Mailing Address: P.O.BOX 123MOBILE, AL 36601

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962869057 2016-01-21 2016-01-21 251 JOHNSTON ST SE, SUITE 300, DECATUR, AL, 356012515, US 3156 SUNVIEW DR, VESTAVIA, AL, 352435433, US

Contacts

Phone +1 256-340-9708
Fax 2563409624
Phone +1 205-970-2348

Authorized person

Name PAUL HENDERSON
Role PRESIDENT
Phone 2563501764

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
MILLING, BROOKS P Agent 104 ST FRANCIS ST SUITE 300MOBILE, AL 36602

Organizer

Name Role Address
MILLING, BROOKS P Organizer 104 ST FRANCIS ST SUITE 300MOBILE, AL 36602

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State