Name: | Blackwell Foster Home, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 29 Jan 1996 (29 years ago) |
Entity Number: | 000-177-208 |
Register Number: | 000177208 |
ZIP code: | 35971 |
County: | De Kalb |
Place of Formation: | DeKalb County |
Principal Address: | FYFFE, AL |
Registered Office Street Address: | 743 COUNTY ROAD 18FYFFE, AL 35971 |
Authorized Capital: | $5,000 |
Paid Share Capital: | $1,000 |
Activities
OWN/MANAGE/OPERATE FACILITIES FOR MENTALLY ILL/RETARDED/ETC
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124397963 | 2011-12-23 | 2011-12-23 | 743 COUNTY ROAD 18, FYFFE, AL, 35971, US | 743 COUNTY ROAD 18, FYFFE, AL, 359713907, US | |||||||||||||
|
Phone | +1 256-659-6649 |
Authorized person
Name | DIANETTE BLACKWELL |
Role | DIRECTOR |
Phone | 2566596649 |
Taxonomy
Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Is Primary | Yes |
Name | Role |
---|---|
BLACKWELL, DIANETTE | Agent |
Name | Role |
---|---|
BLACKWELL, LARRY | Incorporator |
BLACKWELL, DIANETTE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State