| Name: | Crenshaw Immediate Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 Oct 2010 (14 years ago) |
| Date of dissolution: | 14 Dec 2018 |
| Entity Number: | 000-302-824 |
| Register Number: | 000302824 |
| 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063711695 | 2011-03-22 | 2011-03-22 | 5303 VAUGHN RD, CREDENTIALING DEPARTMENT, MONTGOMERY, AL, 361161120, US | 101 HOSPITAL CIR, LUVERNE, AL, 360497329, US | |||||||||||||||
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| Phone | +1 334-386-0343 |
| Fax | 3343860382 |
Authorized person
| Name | VICKI F LAWRENSON |
| Role | OWNER |
| Phone | 3343860343 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAWRENSON, VICKI | Agent | 3170 PARLIAMENT CIRCLEMONTGOMERY, AL 36116 |
| Name | Role |
|---|---|
| JACQUES JARRY FAMILY LIMITED | Member |
| VICKI LAWRENSON FAMILY LIMITED | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
