Name: | Blue Water Recovery PLLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Dissolved |
Date of registration: | 01 Sep 2022 (2 years ago) (Companies founded in September 2022) |
Date of dissolution: | 05 Dec 2023 |
Entity Number: | 001-037-991 |
Register Number: | 001037991 |
ZIP code: | 36527 (Companies in Baldwin, 36527) |
County: | Baldwin |
Place of Formation: | Alabama |
Registered Office Street Address: | 6580 Spanish Fort Blvd, Ste CSpanish Fort, AL 36527 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699485078 | 2022-11-28 | 2023-02-15 | 112 W SECTION AVE STE 107, FOLEY, AL, 365353570, US | 112 W SECTION AVE STE 107&108, FOLEY, AL, 365353570, US | |||||||||||||
|
Phone | +1 251-402-3488 |
Authorized person
Name | DR. KELLY GARCIA |
Role | PRESIDENT |
Phone | 2514023488 |
Taxonomy
Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
Is Primary | Yes |
Name | Role |
---|---|
Langley, Thomas | Agent |
Name | Role | Address |
---|---|---|
Garcia, Kelly | Organizer | 33998 Mendota DrSpanish Fort, AL 36527 |
Damaschun, Jason | Organizer | 33998 Mendota DrSpanish Fort, AL 36527 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State