| Entity Name: | MANOR OAKS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jun 1974 (51 years ago) |
| Document Number: | 455340 |
| FEI/EIN Number | 591539783 |
| Address: | 2121 EAST COMMERCIAL BLVD., FT. LAUDERDALE, FL, 33308 |
| Mail Address: | 1601 NE 26TH ST, FT LAUDERDALE, FL, 33305, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174553861 | 2006-07-05 | 2012-02-17 | 1601 NE 26TH ST, WILTON MANORS, FL, 333051410, US | 2121 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 333083821, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-566-8353 |
| Fax | 9545633939 |
| Phone | +1 954-771-8400 |
| Fax | 9547727149 |
Authorized person
| Name | MRS. SALLY P BOLEN |
| Role | CFO |
| Phone | 9545668353 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1640096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0256935-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARRINSON, RALPH A. | Agent | 1601 NE 26 ST, FT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| MARRINSON, RALPH A | President | 1601 NE 26 ST, FT LAUDERDALE, FL, 33305 |
| Name | Role | Address |
|---|---|---|
| MARRINSON, RALPH A | Director | 1601 NE 26 ST, FT LAUDERDALE, FL, 33305 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-28 | No data | No data |
| NAME CHANGE AMENDMENT | 1974-08-23 | MANOR OAKS, INC. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
