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Mothers' Milk Bank of Alabama

Details

Name: Mothers' Milk Bank of Alabama
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 24 Sep 2014 (10 years ago)
Entity Number: 000-318-950
Register Number: 000318950
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 107 WALTER DAVIS DRIVEBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

Activities COLLECTION & DISTRIBUTION SERVICE FOR HUMAN DONOR MILK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174186225 2019-04-15 2019-04-15 107 WALTER DAVIS DR, BIRMINGHAM, AL, 352092803, US 107 WALTER DAVIS DR, BIRMINGHAM, AL, 352092803, US

Contacts

Phone +1 205-942-8911
Fax 2059428838

Authorized person

Name KRISTINA HABCHI
Role EXECUTIVE DIRECTOR
Phone 2059428911

Taxonomy

Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary Yes

Agent

Name Role
WOOD, KATHERINE Agent

Director

Name Role Address
KELLEY, MARY MICHAEL Director 107 WALTER DAVIS DRIVEBIRMINGHAM, AL 35209
SUMNERS, ANDREA Director 107 WALTER DAVIS DRIVEBIRMINGHAM, AL 35209
STOREY, AMANDA Director 107 WALTER DAVIS DRIVEBIRMINGHAM, AL 35209

Incorporator

Name Role Address
COMMUNITY FOOD BANK OF CENTRAL AL Incorporator 107 WALTER DAVIS DRIVEBIRMINGHAM, AL 35209

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State