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Greater Etowah Mental Retardation 310 Board

Details

Name: Greater Etowah Mental Retardation 310 Board
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 10 Sep 1996 (28 years ago) (Companies founded in September 1996)
Entity Number: 000-814-697
Register Number: 000814697
Historical Names: Greater Etowah Mental Retardation 310 Board, Inc.
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Registered Office Street Address: 319 PADENREICH AVEGADSDEN, AL 35903

Activities TO PROMOTE THE GENERAL WELFARE OF MENTAL RETARDED PERSONS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144303223 2006-10-23 2020-08-22 319 PADENREICH AVE, GADSDEN, AL, 359032440, US 319 PADENREICH AVE, GADSDEN, AL, 359032440, US

Contacts

Phone +1 256-546-6016
Fax 2565466016

Authorized person

Name MRS. BARBARA S. CLACKUM
Role EXECUTIVE DIRECTOR
Phone 2565466016

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role
CLACKUM, BARBARA Agent

Incorporator

Name Role
EVANS, LUCINDA Incorporator
KELLY, CORA Incorporator
CROWE, R LARRY Incorporator

Events

Event Date Event Type Old Value New Value
2009-12-22 Name Change Greater Etowah Mental Retardation 310 Board, Inc. Greater Etowah Mental Retardation 310 Board

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State