| Name: | COMPLETE FAMILY CARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 May 2012 (13 years ago) (Companies founded in May 2012) |
| Entity Number: | 000-054-539 |
| Register Number: | 000054539 |
| ZIP code: | 35983 (Companies in Cherokee, 35983) |
| County: | Cherokee |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 280 INDUSTRIAL BLVDLEESBURG, AL 35983 |
Activities
INTERNAL AND FAMILY MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467797803 | 2012-12-11 | 2012-12-11 | PO BOX 8365, GADSDEN, AL, 359028365, US | 280 INDUSTRIAL BLVD, LEESBURG, AL, 359833737, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-543-2867 |
| Fax | 2564594791 |
| Phone | +1 256-526-6926 |
| Fax | 2565266931 |
Authorized person
| Name | YOYEN A. LAU |
| Role | D.O. PHYSICIAN |
| Phone | 2565266926 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | D0638 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 123504 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| LAU, YOYEN A | Agent | 280 INDUSTRIAL BLVDLEESBURG, AL 35983 |
| Name | Role | Address |
|---|---|---|
| LAU, YOYEN A | Organizer | 280 INDUSTRIAL BLVDLEESBURG, AL 35983 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
