Entity Name: | ANCHORAGE CHILDREN'S HOME OF BAY COUNTY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 13 Apr 1983 (42 years ago) |
Document Number: | 767945 |
FEI/EIN Number | 592323037 |
Address: | 2121 LISENBY AVE, PANAMA CITY, FL, 32405, US |
Mail Address: | 2121 LISENBY AVE, PANAMA CITY, FL, 32405, US |
ZIP code: | 32405 |
County: | Bay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467526483 | 2006-11-20 | 2020-08-22 | 2121 LISENBY AVE, PANAMA CITY, FL, 324052910, US | 2121 LISENBY AVE, PANAMA CITY, FL, 324052910, US | |||||||||||||||||||
|
Phone | +1 850-763-7102 |
Fax | 8507690855 |
Authorized person
Name | DAVID ANTHONT MAZUR |
Role | CFO |
Phone | 8507637102 |
Taxonomy
Taxonomy Code | 311Z00000X - Custodial Care Facility |
License Number | 010851 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BOOTH JOEL | Agent | 2121 LISENBY AVE, PANAMA CITY, FL, 32405 |
Name | Role | Address |
---|---|---|
HOCHSTETLER SHAWN | Chairman | 3539 FOX RUN BLVD, PANAMA CITY BEACH, FL, 32408 |
Name | Role | Address |
---|---|---|
MUGGLIN LINDA | Assistant Treasurer | 1367 CAPRI DRIVE, PANAMA CITY, FL, 32401 |
NELSON JESSE DR. | Assistant Treasurer | 5008 TOMMY SMITH DRIVE, PANAMA CITY, FL, 32404 |
Name | Role | Address |
---|---|---|
MUGGLIN LINDA | L | 1367 CAPRI DRIVE, PANAMA CITY, FL, 32401 |
NELSON JESSE DR. | L | 5008 TOMMY SMITH DRIVE, PANAMA CITY, FL, 32404 |
Name | Role | Address |
---|---|---|
CLARK JEFFREY | Secretary | 4032 KRISTANA DRIVE, PANAMA CITY, FL, 32405 |
Name | Role | Address |
---|---|---|
BOOTH JOEL | Executive | 2121 LISENBY AVE, PANAMA CITY, FL, 32405 |
Name | Role | Address |
---|---|---|
MARTRAIN PHILOMENA | Vice President | 235 W. 5TH STREET, PANAMA CITY, FL, 32401 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 1991-06-03 | No data | No data |
AMENDMENT | 1984-01-30 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State