| Entity Name: | FIDELITY LIVING LLC, GROUP HOME |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 May 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000101924 |
| FEI/EIN Number | 81-5034067 |
| Address: | 1941 KINGWAY DRIVE, DELTONA, FL, 32738 |
| Mail Address: | 1941 KINGWAY DRIVE, DELTONA, FL, 32738 |
| ZIP code: | 32738 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326579178 | 2017-03-23 | 2017-03-23 | 1941 KINGWAY DR, DELTONA, FL, 327388619, US | 1941 KINGWAY DR, DELTONA, FL, 327388619, US | |||||||||||||
|
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| Phone | +1 386-801-7170 |
Authorized person
| Name | MRS. NATACHA LHERISSON |
| Role | MGR. |
| Phone | 3868017170 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LHERISSON Natacha | Agent | 1941 KINGWAY DRIVE, DELTONA, FL, 32738 |
| Name | Role | Address |
|---|---|---|
| LHERISSON GERALD | Manager | 2996 GIMLET DRIVE, DELTONA, FL, 32738 |
| LHERISSON NATACHA | Manager | 2996 GIMLET DRIVE, DELTONA, FL, 32738 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-28 | LHERISSON, Natacha | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-28 |
| Florida Limited Liability | 2016-05-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
