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Blackwell Foster Home, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
BLACKWELL, DIANETTE Agent

Incorporator

Name Role
BLACKWELL, LARRY Incorporator
BLACKWELL, DIANETTE Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State