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House of Purpose & Empowerment, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WASHINGTON, OTIS Agent 1602 FOREST AVENUE NWFORT PAYNE, AL 35967

Director

Name Role Address
WASHINGTON, OTIS Director 1602 FOREST AVENUE NWFORT PAYNE, AL 35967
DRYER, SHEBA Director 1905 COUNTY ROAD 458FORT PAYNE, AL 35967

Incorporator

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