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ANCHORAGE CHILDREN'S HOME OF BAY COUNTY, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BOOTH JOEL Agent 2121 LISENBY AVE, PANAMA CITY, FL, 32405

Chairman

Name Role Address
HOCHSTETLER SHAWN Chairman 3539 FOX RUN BLVD, PANAMA CITY BEACH, FL, 32408

Assistant Treasurer

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

L

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

Secretary

Name Role Address
CLARK JEFFREY Secretary 4032 KRISTANA DRIVE, PANAMA CITY, FL, 32405

Executive

Name Role Address
BOOTH JOEL Executive 2121 LISENBY AVE, PANAMA CITY, FL, 32405

Vice President

Name Role Address
MARTRAIN PHILOMENA Vice President 235 W. 5TH STREET, PANAMA CITY, FL, 32401

Events

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