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AT HOME INDEPENDENT LIVING, INC.

Details

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

National Provider Identifier

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

Contacts

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

Director

Name Role Address
MONTGOMERY, TRENT W Director 5220 CHESTERTOWN TRACENORTHPORT, AL 35475
DENT, TERRY J Director 4004 41ST STREETNORTHPORT, AL 35473

Incorporator

Name Role Address
MONTGOMERY, TRENT W Incorporator 5220 CHESTERTOWN TRACENORTHPORT, AL 35475
DENT, TERRY J Incorporator 4004 41ST STREETNORTHPORT, AL 35473

Agent

Name Role Address
MONTGOMERY, TRENT W Agent 5220 CHESTERTOWN TRACENORTHPORT, AL 35475

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State