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FAMILY CARE CENTER - MAGNOLIA, LLC

Company Details

Name: FAMILY CARE CENTER - MAGNOLIA, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Non-profit
File Date: 28 Dec 1998 (26 years ago)
Organization Date: 28 Dec 1998 (26 years ago)
Last Annual Report: 18 Sep 2009 (16 years ago)
Managed By: Managers
Organization Number: 0466697
ZIP code: 42757
City: Magnolia
Primary County: Hart County
Principal Office: 432 MILL ROAD, MAGNOLIA, KY 42757
Place of Formation: KENTUCKY

Registered Agent

Name Role
DAVID L. GRAY Registered Agent

Manager

Name Role
David L Gray Manager

Organizer

Name Role
GLEN D. DALTON Organizer

National Provider Identifier

NPI Number:
1194775734

Authorized Person:

Name:
MR. JEFF D KINGERY
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2707061167
Fax:
2703243244

Former Company Names

Name Action
PRIMARY CARE CENTER - MAGNOLIA, LLC Old Name

Filings

Name File Date
Dissolution 2010-04-01
Amended and Restated Articles 2009-09-23
Annual Report 2009-09-18
Annual Report 2008-10-28
Annual Report 2007-06-28

Sources: Kentucky Secretary of State