Name: | House of Purpose & Empowerment, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 30 Oct 2014 (10 years ago) |
Entity Number: | 000-321-549 |
Register Number: | 000321549 |
ZIP code: | 35967 |
County: | De Kalb |
Place of Formation: | DeKalb County |
Registered Office Street Address: | 1602 FOREST AVENUE NWFORT PAYNE, AL 35967 |
Activities
RESIDENTIAL GROUP HOME
CHARITABLE
EDUCATIONAL
RELIGIOUS PURPOSES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619365814 | 2014-12-23 | 2014-12-23 | 1602 FOREST AVE NW, FORT PAYNE, AL, 359673324, US | 1602 FOREST AVE NW, FORT PAYNE, AL, 359673324, US | |||||||||||||||||||
|
Phone | +1 256-630-0156 |
Fax | 2566381854 |
Authorized person
Name | MR. OTIS JEROME WASHINGTON |
Role | PRESIDENT |
Phone | 2566300156 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | 3685C |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WASHINGTON, OTIS | Agent | 1602 FOREST AVENUE NWFORT PAYNE, AL 35967 |
Name | Role | Address |
---|---|---|
WASHINGTON, OTIS | Director | 1602 FOREST AVENUE NWFORT PAYNE, AL 35967 |
DRYER, SHEBA | Director | 1905 COUNTY ROAD 458FORT PAYNE, AL 35967 |
Name | Role | Address |
---|---|---|
WASHINGTON, OTIS | Incorporator | 1602 FOREST AVENUE NWFORT PAYNE, AL 35967 |
DRYER, SHEBA | Incorporator | 1905 COUNTY ROAD 458FORT PAYNE, AL 35967 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State