| Name: | Staff Medical Service Home Health Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Aug 2010 (14 years ago) |
| Date of dissolution: | 30 Nov 2015 |
| Entity Number: | 000-572-105 |
| Register Number: | 000572105 |
| ZIP code: | 36206 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | ANNISTON, AL |
| Registered Office Street Address: | 4113 OAKDALE AVEANNISTON, AL 36206 |
Activities
PROVIDE SERVICE TO HOMEBOUND ELDERLY/CHILDREN/OTHERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992122709 | 2014-03-19 | 2014-03-19 | 1200 NOBLE ST, SUITE 101, ANNISTON, AL, 362014659, US | 1200 NOBLE ST, SUITE 101, ANNISTON, AL, 362014659, US | |||||||||||||||||||||||||||
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| Phone | +1 256-405-4022 |
| Fax | 2563652060 |
Authorized person
| Name | MS. RUBY STOCKDALE |
| Role | PRESIDENT |
| Phone | 2564054022 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | 133832 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 133832 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| STOCKDALE, RUBY | Agent |
| Name | Role |
|---|---|
| STOCKDALE, RUBY | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
