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
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 | |||||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PEACOCK, EDWARD H | Agent | 1685 EAST UNIVERSITY DR SUITE EAUBURN, AL 36830 |
Name | Role | Address |
---|---|---|
PEACOCK, EDWARD HURST | Director | 1685 E UNIVERSITY DRIVE SUITE EAUBURN, AL 36830 |
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