Name: | AT HOME INDEPENDENT LIVING, INC. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 13 Jun 2011 (13 years ago) |
Entity Number: | 000-015-758 |
Register Number: | 000015758 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Principal Address: | 5420 CEDAR COVE LANENORTHPORT, AL 35473 |
Principal Address ZIP Code: | 35473 |
Registered Office Mailing Address: | 1112 38TH STREETTUSCALOOSA, AL 35401 |
Registered Office Mailing Address ZIP Code: | 35401 |
Authorized Capital: | 1,000 @ $1 PV |
Activities
RESIDENTIAL HOME FOR MENTALLY/PHYSICALLY DISABLED PERSONS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871830646 | 2013-01-13 | 2013-01-13 | 1112 38TH ST, TUSCALOOSA, AL, 354017075, US | 4004 41ST ST, NORTHPORT, AL, 354732308, US | |||||||||||||||
|
Phone | +1 205-242-3962 |
Fax | 2053446955 |
Authorized person
Name | TERRY JOE DENT |
Role | PRESIDENT |
Phone | 2052423962 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MONTGOMERY, TRENT W | Director | 5220 CHESTERTOWN TRACENORTHPORT, AL 35475 |
DENT, TERRY J | Director | 4004 41ST STREETNORTHPORT, AL 35473 |
Name | Role | Address |
---|---|---|
MONTGOMERY, TRENT W | Incorporator | 5220 CHESTERTOWN TRACENORTHPORT, AL 35475 |
DENT, TERRY J | Incorporator | 4004 41ST STREETNORTHPORT, AL 35473 |
Name | Role | Address |
---|---|---|
MONTGOMERY, TRENT W | Agent | 5220 CHESTERTOWN TRACENORTHPORT, AL 35475 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State