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Autumnwoods Certified Residential Care Facility Inc.

Details

Name: Autumnwoods Certified Residential Care Facility Inc.
Jurisdiction: Alabama
Legal type: Foreign Non-Profit Corporation
Status: Exists
Date of registration: 03 Apr 2008 (17 years ago)
Entity Number: 000-945-725
Register Number: 000945725
County: Tuscaloosa
Place of Formation: Michigan
Registered Office Street Address: 5232 OVERBROOK ROADTUSCALOOSA, AL 35405
Registered Office Street Address ZIP Code: 35405
Principal Address: 42015 FORD ROAD STE 405CANTON, MI 48187

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518249069 2011-09-12 2011-09-12 42015 FORD RD, 405, CANTON, MI, 481873669, US 5232 OVERBROOK RD, TUSCALOOSA, AL, 354055764, US

Contacts

Phone +1 248-353-0928
Phone +1 205-556-3067
Fax 2055563067

Authorized person

Name MRS. LAURA MAE GARRETT
Role EXECUTIVE DIRECTOR
Phone 2055563067

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
GARRETT, LAURA M Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State