| Name: | Grace OB/GYN, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Sep 2011 (13 years ago) |
| Date of dissolution: | 21 Oct 2016 |
| Entity Number: | 000-026-396 |
| Register Number: | 000026396 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 188 HOSPITAL DR STE 304DAPHNE, AL 36532 |
| Principal Address ZIP Code: | 36532 |
| Principal Mailing Address: | PO BOX 2492DAPHNE, AL 36526 |
| Principal Mailing Address ZIP Code: | 36526 |
| Registered Office Street Address: | 188 HOSPITAL DR STE 304FAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790052090 | 2011-11-30 | 2012-01-10 | PO BOX 2492, DAPHNE, AL, 365262492, US | 188 HOSPITAL DR, SUITE 303, FAIRHOPE, AL, 365322043, US | |||||||||||||||||||
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| Phone | +1 251-990-1960 |
| Fax | 2519901964 |
Authorized person
| Name | DR. JENNIFER M GRACE |
| Role | PRESIDENT |
| Phone | 2519901960 |
Taxonomy
| Taxonomy Code | 207VX0000X - Obstetrics Physician |
| License Number | 24538 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRACE, JENNIFER M | Agent | 2 SAINT CHARLES PLACEDAPHNE, AL 36526 |
| Name | Role | Address |
|---|---|---|
| GRACE, JENNIFER M | Organizer | 2 SAINT CHARLES PLACEDAPHNE, AL 36526 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
