Entity Name: | LEON F. STEWART - HAL S. MARCHMAN CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 06 Mar 1970 (55 years ago) |
Document Number: | 719104 |
FEI/EIN Number | 591295986 |
Address: | 3875 TIGER BAY ROAD, DAYTONA BCH, FL, 32124, US |
Mail Address: | 3875 TIGER BAY RD, DAYTONA BCH, FL, 32124, US |
ZIP code: | 32124 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740285196 | 2005-06-14 | 2020-08-22 | 3875 TIGER BAY RD, DAYTONA BEACH, FL, 321241063, US | 3875 TIGER BAY RD, DAYTONA BEACH, FL, 321241063, US | |||||||||||||||||||
|
Phone | +1 386-947-1328 |
Fax | 3869471323 |
Authorized person
Name | MR. WILLIAM CHESTER BELL |
Role | CEO |
Phone | 3869471480 |
Taxonomy
Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
License Number | 261QCI500X |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BELL WILLIAM C | Agent | 3875 TIGER BAY RD, DAYTONA BEACH, FL, 32174 |
Name | Role | Address |
---|---|---|
DENIGHT WILLIAM | Treasurer | 1420 N. ATLANTIC AVE, #904, DAYTONA BEACH, FL, 32118 |
Name | Role | Address |
---|---|---|
SERBOUSEK TED | Director | P.O. BOX 751, DAYTONA BEACH, FL, 32114 |
MIDDLETON MYRA | Director | 27 MOONTALK LN, PALM COAST, FL, 32164 |
CAMPBELL-BAKER LORI | Director | 126 E. ORANGE AVE, DAYTONA BEACH, FL, 32114 |
Name | Role | Address |
---|---|---|
KELLY LAWRENCE J | Chairman | 3875 TIGER BAY ROAD, DAYTONA BEACH, FL, 32124 |
Name | Role | Address |
---|---|---|
ROSARIA UPCHURCH | Secretary | 7 BROADRIVER ROAD, ORMOND BEACH, FL, 32174 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
MERGER | 2008-09-15 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 703211. MERGER NUMBER 300000090303 |
NAME CHANGE AMENDMENT | 1992-10-14 | LEON F. STEWART - HAL S. MARCHMAN CENTER, INC. | No data |
NAME CHANGE AMENDMENT | 1970-03-06 | THE LEON F. STEWART TREATMENT CENTER, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State