| Name: | Blue Bayou, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Aug 2004 (20 years ago) (Companies founded in August 2004) |
| Entity Number: | 000-454-474 |
| Register Number: | 000454474 |
| ZIP code: | 36535 (Companies in Baldwin, 36535) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FOLEY, AL |
| Registered Office Street Address: | 112 W LAUREL AVEFOLEY, AL 36535 |
Activities
REAL/PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851649321 | 2012-08-15 | 2012-09-18 | 2100 SOUTHBRIDGE PKWY, BIRMINGHAM, AL, 352091302, US | 2100 SOUTHBRIDGE PKWY, BIRMINGHAM, AL, 352091302, US | |||||||||||||||||
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| Phone | +1 256-341-7100 |
Authorized person
| Name | GREGORY MORMAN |
| Role | CEO |
| Phone | 2563417100 |
Taxonomy
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 1478 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEATHERBURY, GREGORY L JR | Agent | 71 NORTH SECTION STREET SUITE BFAIRHOPE, AL 36552 |
| Name | Role | Address |
|---|---|---|
| LEATHERBURY, GREGORY L JR | Member | 71 NORTH SECTION STREET SUITE BFAIRHOPE, AL 36552 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
