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Grace Pain & Wellness, Inc.

Details

Name: Grace Pain & Wellness, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 19 Jan 2018 (7 years ago)
Date of dissolution: 11 Oct 2023
Entity Number: 000-507-440
Register Number: 000507440
County: Saint Clair
Place of Formation: Saint Clair County
Registered Office Street Address: 7067 VETERANS PARKWAY, SUITE 210PELL CITY, AL 35125
Registered Office Street Address ZIP Code: 35125
Authorized Capital: 1000 @ NO PV

Activities TO PROVIDE MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508369406 2018-03-16 2018-03-16 PO BOX 1547, SEDALIA, MO, 653021547, US 7067 VETERANS PKWY STE 210, PELL CITY, AL, 351255128, US

Contacts

Phone +1 660-826-5960
Fax 6608264852
Phone +1 205-405-7348

Authorized person

Name GAYLYN HORNE
Role OWNER
Phone 2054057348

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

Agent

Name Role Address
HORNE, GAYLYN M Agent 7067 VETERANS PARKWAY, SUITE 201PELL CITY, AL 35125

Incorporator

Name Role Address
HORNE, GAYLYN M Incorporator 7067 VETERANS PARKWAY, SUITE 201PELL CITY, AL 35125

Director

Name Role Address
HORNE, GAYLYN MCILWAIN Director 7067 VETERANS PARKWAY, SUITE 201PELL CITY, AL 35125

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State