| Name: | Ivy Creek Family Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Jul 2012 (12 years ago) (Companies founded in July 2012) |
| Date of dissolution: | 10 Jun 2015 |
| Entity Number: | 000-071-600 |
| Register Number: | 000071600 |
| ZIP code: | 36003 (Companies in Autauga, 36003) |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 203 S WASHINGTON STREETAUTAUGAVILLE, AL 36003 |
Activities
PROVIDE HEALTH CARE AND SERVE THE MEDICAL NEEDS OF CITIZENS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972850741 | 2012-08-10 | 2012-09-28 | PO BOX 490, AUTAUGAVILLE, AL, 360030490, US | 201 S WASHINGTON ST, AUTAUGAVILLE, AL, 360032535, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 334-361-7316 |
| Fax | 3343617858 |
Authorized person
| Name | JAMES GORDON FAULK |
| Role | CEO |
| Phone | 3343617316 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAULK, GORDON | Agent | 222 SHADY VALLEY ROADAUTAUGAVILLE, AL 36003 |
| Name | Role | Address |
|---|---|---|
| FAULK, GORDON | Organizer | 222 SHADY VALLEY ROADAUTAUGAVILLE, AL 36003 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
