AREA AGENCY ON AGING FOR NORTH FLORIDA, INC.

Company Details

Entity Name:	AREA AGENCY ON AGING FOR NORTH FLORIDA, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active
Date Filed:	21 Jun 1978 (47 years ago)
Document Number:	743340
FEI/EIN Number	591844633
Address:	2414 MAHAN DRIVE, TALLAHASSEE, FL, 32308-5302, US
Mail Address:	2414 MAHAN DRIVE, TALLAHASSEE, FL, 32308-5302, US
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1235703224

2021-05-14

2021-05-14

2414 MAHAN DR, TALLAHASSEE, FL, 323085302, US

2414 MAHAN DR, TALLAHASSEE, FL, 323085302, US

Contacts

Phone	+1 850-488-0055
Fax	8509222420

Authorized person

Name	MRS. LISA BRETZ
Role	EXECUTIVE DIRECTOR
Phone	8504880055

Taxonomy

Taxonomy Code	253Z00000X - In Home Supportive Care Agency
Is Primary	Yes

Agent

Name	Role	Address
BRETZ LISA	Agent	2414 MAHAN DRIVE, TALLAHASSEE, FL, 323085302

President

Name	Role	Address
Clarke Anita	President	2608 Clayton Rd, Chipley, FL, 32428

1st

Name	Role	Address
Alexander Dorothy	1st	465 NW Digger Wasp Trail, Madison, FL, 32331

Secretary

Name	Role	Address
Dickey Willie A	Secretary	P.O. Box 353, Monticello, FL, 32345

Treasurer

Name	Role	Address
Rich Harriet	Treasurer	1624 Spring Creek Hwy, Crawfordville, FL, 32327

Executive Director

Name	Role	Address
BRETZ LISA	Executive Director	2414 MAHAN DRIVE, TALLAHASSEE, FL, 323085302

2nd

Name	Role	Address
Owens Shirley	2nd	1672 Hwy 173, Graceville, FL, 32440

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G18000057395	ADVANTAGE AGING SOLUTIONS	ACTIVE	2018-04-30	2028-12-31	No data	2414 MAHAN DR, 2414 MAHAN DRIVE, TALLAHASSEE, FL, 32308

Date of last update: 01 Feb 2025

Sources: Florida Department of State