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Madison County 310 Board

Details

Name: Madison County 310 Board
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 20 Aug 1990 (34 years ago)
Entity Number: 000-068-524
Register Number: 000068524
Historical Names: Madison County Mental Retardation Board
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 4940 RESEARCH DRIVE SUITE BHUNTSVILLE, AL 35805
Registered Office Street Address ZIP Code: 35805

Activities MENTAL RETARDATION & DEVELOPMENTAL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174605422 2006-10-19 2020-08-22 4717 UNIVERSITY DR NW, SUITE 106, HUNTSVILLE, AL, 358163409, US 4717 UNIVERSITY DR NW, SUITE 106, HUNTSVILLE, AL, 358163409, US

Contacts

Phone +1 256-837-5777
Fax 2568375886

Authorized person

Name MS. JOHANNA POATES
Role EXECUTIVE DIRECTOR
Phone 2568375777

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role
POATES, JOHANNA Agent

Incorporator

Name Role
GATTIS, LENORA Incorporator
BENEFIELD, ABE Incorporator
ALLEN, WILLIAM E Incorporator

Events

Event Date Event Type Old Value New Value
2013-09-05 Name Change Madison County Mental Retardation Board Madison County 310 Board

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State