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Crenshaw Immediate Care, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

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

Member

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

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State