| 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) |
| Date of dissolution: | 01 Jan 2021 |
| Entity Number: | 000-302-823 |
| Register Number: | 000302823 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 5303 VAUGHN RDMONTGOMERY, AL 36116 |
| Registered Office Street Address ZIP Code: | 36116 |
Activities
MANAGE/LEASE/DEVELOP PROPERTY
| 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 | |||||||||||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| JACQUES JARRY FAMILY LIMITED | Member |
| VICKI LAWRENSON FAMILY LIMITED | Member |
| Name | Role | Address |
|---|---|---|
| LAWRENSON, VICKI | Agent | 3170 PARLIAMENT CIRCLEMONTGOMERY, AL 36116 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
