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The Grace Circle LLC

Details

Name: The Grace Circle LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2023 (a year ago) (Companies founded in October 2023)
Entity Number: 001-102-298
Register Number: 001102298
ZIP code: 36092 (Companies in Elmore, 36092)
County: Elmore
Place of Formation: Alabama
Principal Address: 4858 Grier RoadWetumpka, AL 36092
Registered Office Street Address: 2021 Home Park Trail, Unit 312Prattville, AL 36066

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750153987 2023-10-23 2024-04-15 4209 CARMICHAEL RD, MONTGOMERY, AL, 361063601, US 4209 CARMICHAEL RD, MONTGOMERY, AL, 361063601, US

Contacts

Phone +1 334-356-1020
Fax 3343562177

Authorized person

Name MRS. JESSICA R GIBSON
Role OCCUPATIONAL THERAPIST
Phone 3345900164

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes
Taxonomy Code 224Z00000X - Occupational Therapy Assistant
Is Primary No
Taxonomy Code 2251P0200X - Pediatric Physical Therapist
Is Primary No
Taxonomy Code 225200000X - Physical Therapy Assistant
Is Primary No
Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

Agent

Name Role
Purvis, Grace Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State