| Name: | Green Cross Family Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 01 May 2015 (10 years ago) |
| Date of dissolution: | 12 Aug 2015 |
| Entity Number: | 000-334-972 |
| Register Number: | 000334972 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 5510 HIGHWAY 280 SUITE 216HOOVER, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
TO PROVIDE MEDICAL SERVICES AS A CERTIFIED NURSE PRACTITIONER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528445566 | 2015-04-29 | 2015-04-29 | 5510 HIGHWAY 280 STE 216, BIRMINGHAM, AL, 352426547, US | 5510 HIGHWAY 280 STE 216, BIRMINGHAM, AL, 352426547, US | |||||||||||||||||
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| Phone | +1 205-936-1386 |
Authorized person
| Name | PAIGE PATTILLO |
| Role | OWNER |
| Phone | 2059361386 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 1-054204 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATTILLO, PAIGE | Agent | 5510 HIGHWAY 280 SUITE 216HOOVER, AL 35242 |
| Name | Role | Address |
|---|---|---|
| PATTILLO, PAIGE | Organizer | 5510 HIGHWAY 280 SUITE 216HOOVER, AL 35242 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
