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