| Name: | McRae Prostate Cancer Awareness Foundation |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 24 May 2002 (22 years ago) |
| Entity Number: | 000-556-468 |
| Register Number: | 000556468 |
| County: | Macon |
| Place of Formation: | Macon County |
| Principal Address: | NOTASULGA, AL |
| Registered Office Street Address: | 49 W MAIN STNOTASULGA, AL 36866 |
| Registered Office Street Address ZIP Code: | 36866 |
Activities
PROMOTE PROSTATE HEALTH/AWARENESS PROSTATE CANCER SUPPORT GROUPS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144598772 | 2011-12-10 | 2011-12-10 | 503 W MLK HWY, TUSKEGEE, AL, 360832142, US | 503 W MLK HWY, TUSKEGEE, AL, 360832142, US | |||||||||||||||||||
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| Phone | +1 334-226-1177 |
| Fax | 3342261108 |
Authorized person
| Name | MR. LAWRENCE W MCRAE SR. |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3342261177 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | L4401 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5AKZ0 | Active | Non-Manufacturer | 2009-01-15 | 2014-11-03 | No data | No data | |||||||||||||||
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| POC | LAWRENCE MCRAE W. MCRAE |
| Phone | +1 334-727-7656 |
| Fax | +1 334-727-3983 |
| Address | 305 MLK HWY W, TUSKEGEE, AL, 36083 2146, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| MCRAE, LAWRENCE | Agent |
| Name | Role |
|---|---|
| MCRAE, LAWRENCE W | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
