Name: | South Alabama Family Care LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 22 Aug 2023 (a year ago) (Companies founded in August 2023) |
Entity Number: | 001-095-736 |
Register Number: | 001095736 |
Historical Names: |
SOUTH ALABAMA URGENT CARE, LLC
|
ZIP code: | 36541 (Companies in Mobile, 36541) |
County: | Mobile |
Place of Formation: | Alabama |
Registered Office Street Address: | 10067 GRAND BAY WILMER ROAD S, SUITE 100GRAND BAY, AL 36541 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649028960 | 2024-05-10 | 2024-07-23 | 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003, US | 10067 GRAND BAY WILMER RD S STE 100, GRAND BAY, AL, 365415003, US | |||||||||||||||||||||||||||
|
Phone | +1 251-865-1852 |
Fax | 2518651854 |
Phone | +1 251-810-9525 |
Fax | 2518109536 |
Authorized person
Name | BRIDGOT PETERS |
Role | BILLING DIRECTOR |
Phone | 2514457618 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
STOKES, SEAN | Agent | 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619 |
Name | Role | Address |
---|---|---|
STOKES, SEAN | Organizer | 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2024-03-05 | Name Change | SOUTH ALABAMA URGENT CARE, LLC | South Alabama Family Care LLC |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State