| Entity Name: | CENTER FOR INDEPENDENT LIVING OF NORTH FLORIDA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Jun 1980 (45 years ago) |
| Document Number: | 753011 |
| FEI/EIN Number | 592091522 |
| Address: | 1823 BUFORD COURT, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1823 BUFORD COURT, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609142496 | 2012-03-27 | 2012-04-10 | 1823 BUFORD CT, TALLAHASSEE, FL, 323084465, US | 1823 BUFORD CT, TALLAHASSEE, FL, 323084465, US | |||||||||||||||||||
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| Phone | +1 850-575-9621 |
| Fax | 8505755740 |
Authorized person
| Name | MRS. JUDITH BARRETT |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8505759621 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 753011 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bianchi Mandy | Agent | 3505 Kilkenny Drive West, Tallahassee, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| Patchen Diane | L | 3804 Forsythe Way, Tallahassee, FL, 32309 |
| Sands Kelvin | L | 9771 N. SR53, Madison, FL, 32340 |
| Jenkins Kyra | L | 1001 Green Hill Trace, Tallahassee, FL, 32317 |
| Adelusi Henry Jr | L | 216 Dixie Dr, Tallahassee, FL, 32304 |
| Name | Role | Address |
|---|---|---|
| Adelusi Henry Jr | At | 216 Dixie Dr, Tallahassee, FL, 32304 |
| Sands Kelvin | At | 9771 N. SR53, Madison, FL, 32340 |
| Jenkins Kyra | At | 1001 Green Hill Trace, Tallahassee, FL, 32317 |
| Patchen Diane | At | 3804 Forsythe Way, Tallahassee, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| Leslie Bruce | Past | 2253 Killarney Way, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| Woody Malikah | President | 329 Gawain Ct., Tallahassee, FL, 32301 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000081268 | ABILITY1ST | ACTIVE | 2024-07-08 | 2029-12-31 | No data | 1823 BUFORD COURT, TALLAHASSEE, FL, USA, TALLAHASSEE, FL, 32308 |
| G18000072182 | ABILITY 1ST | EXPIRED | 2018-06-28 | 2023-12-31 | No data | 1823 BUFORD CT., TALLAHASSEE, FL, 32308, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-06-30 | CENTER FOR INDEPENDENT LIVING OF NORTH FLORIDA INC. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
