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Still Waters Adult Day Facility

Details

Name: Still Waters Adult Day Facility
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 22 Feb 2019 (6 years ago)
Entity Number: 000-543-930
Register Number: 000543930
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 505 OWENS DRIVE SEHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Principal Address: 700 BRANTLEY STREETOPP, AL 36467
Principal Address ZIP Code: 36467

Activities PROVIDE DAY CARE SERVICES FOR 18 & OLDER REQUIRING SUPERVISION

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962044131 2019-10-09 2019-10-09 700 BRANTLEY ST, OPP, AL, 364671720, US 700 BRANTLEY ST, OPP, AL, 364671720, US

Contacts

Phone +1 334-400-2932

Authorized person

Name JEANETTE M WATERS
Role PRESIDENT
Phone 3344002932

Taxonomy

Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Agent

Name Role
URS AGENTS, LLC Agent

Director

Name Role Address
WATERS, GARY Director 75 CO RD 463SAMSON, AL 36477
HARRIS, HAYLEE Director 1807 CO RD 546NEW BROCKTON, AL 36351
WATERS, JEANETTE Director 302 OVERHILL RDOPP, AL 36467
GREEN, JULIE Director 2205 SORRENTO PLACE SWDECATUR, AL 35603

Incorporator

Name Role Address
WATERS, JEANETTE Incorporator 302 OVERHILL RDOPP, AL 36467

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State