| Name: | By His Grace Primary Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 May 2023 (2 years ago) (Companies founded in May 2023) |
| Entity Number: | 001-077-604 |
| Register Number: | 001077604 |
| ZIP code: | 36305 (Companies in Houston, 36305) |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3300 WILLOW CREEK ROADDOTHAN, AL 36305 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073202115 | 2023-05-04 | 2023-05-04 | 806 GLOVER AVE STE A, ENTERPRISE, AL, 363302018, US | 806 GLOVER AVE STE A, ENTERPRISE, AL, 363302018, US | |||||||||||||||
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| Phone | +1 334-475-2680 |
| Fax | 3344752681 |
Authorized person
| Name | SAMANTHA PICKETT |
| Role | CRNO, CEO |
| Phone | 3348069233 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PICKETT, SAMANTHA E | Agent |
| Name | Role | Address |
|---|---|---|
| SENN, VICKI D | Organizer | 806 GLOVER AVE SUITE AENTERPRISE, AL 36330 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
