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Autauga-Elmore Mental Retardation Board, Inc.

Details

Name: Autauga-Elmore Mental Retardation Board, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 04 Nov 1993 (31 years ago) (Companies founded in November 1993)
Entity Number: 000-075-967
Register Number: 000075967
Historical Names: Autauga County MR-310 Board, Inc.
ZIP code: 36054 (Companies in Elmore, 36054)
County: Elmore
Place of Formation: Autauga County
Principal Address: 3750 COOSADA ROADMILLBROOK, AL 36054
Registered Office Street Address: 926 SELMA HIGHWAYPRATTVILLE, AL 36067

Activities COMBAT MENTAL RETARDATION/OTHER DEVELOPMENTAL DISABILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912081100 2006-10-24 2020-08-22 PO BOX 1280, MILLBROOK, AL, 360540028, US 3750 COOSADA RD., MILLBROOK, AL, 36054, US

Contacts

Phone +1 334-285-0163
Fax 3342850569

Authorized person

Name MR. STEVE WELCH
Role EXECUTIVE DIRECTOR
Phone 3342850163

Taxonomy

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

Agent

Name Role
BYRNE, DAN Agent

Incorporator

Name Role Address
ANDERSON, JOHN T Incorporator No data
BYRNE, DAN Incorporator No data
JOHNSON, FRANK Incorporator 3001 DAY STREETMONTGOMERY, AL 36108

Events

Event Date Event Type Old Value New Value
2002-02-21 Name Change Autauga County MR-310 Board, Inc. Autauga-Elmore Mental Retardation Board, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State