| Name: | Cullman County Center for the Developmentally Disabled, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 10 Aug 1990 (34 years ago) |
| Entity Number: | 000-068-489 |
| Register Number: | 000068489 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1807 BEECH AVENUE SECULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
Activities
MENTAL RETARDATION & DEVELOPMENTAL DISABILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851463269 | 2006-11-14 | 2020-08-22 | 1807 BEECH AVE SE, CULLMAN, AL, 350555462, US | 1807 BEECH AVE SE, CULLMAN, AL, 350555462, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-737-1915 |
| Fax | 2567343231 |
Authorized person
| Name | ANNA MCGILL |
| Role | BILLING CLERK |
| Phone | 2567371915 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH1597 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH3944 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OTO266 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 1449 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Name | Role |
|---|---|
| EIDSON, ARANEITA B | Incorporator |
| FALKNER, DOROTHY | Incorporator |
| THOMASON, PAT | Incorporator |
| Name | Role |
|---|---|
| MCGILL, TERRY | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
