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BGraceful, LLC

Details

Name: BGraceful, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Dec 2019 (5 years ago) (Companies founded in December 2019)
Entity Number: 000-597-022
Register Number: 000597022
Place of Formation: Wilcox County
Registered Office Street Address: 1401 DOUG BAKER BLVD, STE 107 #566BIRMINGHAM, AL 35252

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932795390 2020-12-18 2020-12-18 1401 DOUG BAKER BLVD STE 107566, HOOVER, AL, 352424974, US 1401 DOUG BAKER BLVD STE 107566, HOOVER, AL, 352424974, US

Contacts

Phone +1 205-941-6099
Fax 2053033166

Authorized person

Name LATOYA M CARSTARPHEN
Role OWNER/NP
Phone 2059416099

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
CARSTARPHEN, LATOYA M Agent 2280 CO RD 6CAMDEN, AL 36726

Organizer

Name Role Address
CARSTARPHEN, LATOYA M Organizer 2280 CO RD 6CAMDEN, AL 36726

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State