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COMPLETE CARE CENTER, INC

Details

Name: COMPLETE CARE CENTER, INC
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 20 Nov 2012 (12 years ago)
Date of dissolution: 03 May 2023
Entity Number: 000-272-198
Register Number: 000272198
County: Lee
Place of Formation: Lee County
Principal Address: 1685 E UNIVERSITY DRIVE SUITE EAUBURN, AL 36830
Principal Address ZIP Code: 36830
Authorized Capital: 1000@NPV

Activities MULTI-DISCIPLINARY HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174861611 2013-01-17 2018-05-01 1685 E UNIVERSITY DR STE E, AUBURN, AL, 368305217, US 1685 E UNIVERSITY DR STE E, AUBURN, AL, 368305217, US

Contacts

Phone +1 334-501-8867
Fax 8669294872

Authorized person

Name DR. EDWARD HURST PEACOCK
Role OWNER
Phone 3345018867

Taxonomy

Taxonomy Code 111NR0400X - Rehabilitation Chiropractor
License Number AL2129
State AL
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number 1-092190
State AL
Is Primary Yes
Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number 1-092190
State AL
Is Primary No

Agent

Name Role Address
PEACOCK, EDWARD H Agent 1685 EAST UNIVERSITY DR SUITE EAUBURN, AL 36830

Director

Name Role Address
PEACOCK, EDWARD HURST Director 1685 E UNIVERSITY DRIVE SUITE EAUBURN, AL 36830

Incorporator

Name Role Address
PEACOCK, EDWARD H Incorporator 1685 EAST UNIVERSITY DR SUITE EAUBURN, AL 36830

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State