Entity Name: | SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 16 Jun 1971 (54 years ago) |
Document Number: | 721174 |
FEI/EIN Number | 237097794 |
Address: | 1161 SW HARVEY GREENE DRIVE, MADISON, FL, 32340, US |
Mail Address: | PO BOX 204, MADISON, FL, 32341, US |
ZIP code: | 32340 |
County: | Madison |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598022469 | 2012-04-17 | 2012-04-17 | PO BOX 204, MADISON, FL, 323410204, US | 1161 SW HARVEY GREENE DR, MADISON, FL, 323404508, US | |||||||||||||||||||||||||||
|
Phone | +1 850-973-4241 |
Fax | 8509734292 |
Authorized person
Name | MS. ROSA RICHARDSON |
Role | EXECUTIVE DIRECTOR |
Phone | 8509734241 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
License Number | 14945 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 302F00000X - Exclusive Provider Organization |
License Number | 14945 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
McQuay Genethel | Agent | 1161 SW HARVEY GREENE DRIVE, MADISON, FL, 32340 |
Name | Role | Address |
---|---|---|
Moore Ronnie | Director | 6513 NW Lovett Rd, Greenville, FL, 32331 |
Townsend Judy | Director | 413 SW Jordan St, Madison, FL, 32340 |
Stanley James | Director | 183 SE Oak Street, Madison, FL, 32340 |
RAY JAMES | Director | P. O. BOX 763, MADISON, FL, 32340 |
Name | Role | Address |
---|---|---|
PEAVY OPIE | President | RT. 4 BOX 6012, MADISON, FL, 32340 |
Name | Role | Address |
---|---|---|
McQuay Genethel | Exec | PO BOX 204, MADISON, FL, 32341 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2011-04-26 | No data | No data |
CANCEL ADM DISS/REV | 2009-12-11 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
NAME CHANGE AMENDMENT | 1984-04-23 | SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State