| Entity Name: | GRACE MANOR AT LAKE MORTON LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Oct 2010 (14 years ago) |
| Document Number: | L10000107826 |
| FEI/EIN Number | 273779098 |
| Address: | 505 Ariana Ave., Auburndale, FL, 33823, US |
| Mail Address: | 505 Ariana Ave., Auburndale, FL, 33823, US |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336587708 | 2013-06-07 | 2022-02-16 | 505 ARIANA AVE, AUBURNDALE, FL, 338234139, US | 610 E LIME STREET, LAKELAND, FL, 33801, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 863-226-0358 |
| Fax | 8638759489 |
| Phone | +1 863-937-9114 |
| Fax | 8639379117 |
Authorized person
| Name | MS. SAVITRI JOHNSON |
| Role | ASST. ADMINISTRATOR |
| Phone | 8632260358 |
Taxonomy
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAY JR DWAYNE NEsq. | Agent | 315 E ROBINSON STREET, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| GARRARD LOUIS F | Manager | 505 Ariana Ave., Auburndale, FL, 33823 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-23 | GRAY JR, DWAYNE N, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-23 | 315 E ROBINSON STREET, SUITE 600, ORLANDO, FL 32801 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-11 | 505 Ariana Ave., Auburndale, FL 33823 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-11 | 505 Ariana Ave., Auburndale, FL 33823 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-01 |
| AMENDED ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
