| Name: | Jennerational Rehab, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Dec 2023 (a year ago) |
| Entity Number: | 001-111-515 |
| Register Number: | 001111515 |
| ZIP code: | 36608 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4638 Bit and Spur Rd.Mobile, AL 36608 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861228512 | 2024-09-10 | 2024-09-10 | 4638 BIT AND SPUR RD, MOBILE, AL, 366082646, US | 4638 BIT AND SPUR RD, MOBILE, AL, 366082646, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-699-0295 |
| Fax | 2516990295 |
Authorized person
| Name | MARISSA BROOKE JADICK |
| Role | DIRECTOR, CREDENTIALING |
| Phone | 2514453391 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Ward, Jennifer | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
