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Dothan-Houston County Intellectual Disabilities Board, Inc.

Details

Name: Dothan-Houston County Intellectual Disabilities Board, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 05 Oct 1990 (34 years ago) (Companies founded in October 1990)
Entity Number: 000-070-346
Register Number: 000070346
Historical Names: Dothan-Houston County Mental Retardation Board, Inc.
ZIP code: 36304 (Companies in Houston, 36304)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 2715 FLYNN ROADDOTHAN, AL 36304

Activities COMBAT ALL FORMS OF MENTAL RETARDATION

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922170109 2006-11-14 2020-08-22 2715 FLYNN RD, DOTHAN, AL, 363031162, US 2715 FLYNN RD, DOTHAN, AL, 363031162, US

Contacts

Phone +1 334-793-3102
Fax 3347937740

Authorized person

Name MR. ED DORSEY
Role EXECUTIVE DIRECTOR
Phone 3347933102

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
State AL
Is Primary No
Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
State AL
Is Primary No

Agent

Name Role
ZAPATA, DAN RAYMOND Agent

Incorporator

Name Role Address
BLUMBERG, SUSAN S Incorporator No data
CHAPMAN, LANIE S Incorporator No data
CONTI, JOHN A Incorporator No data
LIVINGSTON, ALAN C Incorporator 238 WEST MAIN STREETDOTHAN, AL 36301
MURPHREE, DAVID M Incorporator No data

Events

Event Date Event Type Old Value New Value
2011-07-18 Name Change Dothan-Houston County Mental Retardation Board, Inc. Dothan-Houston County Intellectual Disabilities Board, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State