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Crenshaw Family Care Center, LLC

Details

Name: Crenshaw Family Care Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 12 Oct 2010 (14 years ago) (Companies founded in October 2010)
Date of dissolution: 01 Jan 2021
Entity Number: 000-302-823
Register Number: 000302823
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 5303 VAUGHN RDMONTGOMERY, AL 36116

Activities MANAGE/LEASE/DEVELOP PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194092478 2011-11-30 2012-06-07 PO BOX 5013, MONTGOMERY, AL, 361035013, US 58 ROY BEALL DR, LUVERNE, AL, 360496800, US

Contacts

Phone +1 334-386-0343
Fax 3343860382
Phone +1 334-335-1212
Fax 3343351217

Authorized person

Name VICKI F LAWRENSON
Role COO
Phone 3343860343

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No

Member

Name Role
JACQUES JARRY FAMILY LIMITED Member
VICKI LAWRENSON FAMILY LIMITED Member

Agent

Name Role Address
LAWRENSON, VICKI Agent 3170 PARLIAMENT CIRCLEMONTGOMERY, AL 36116

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State