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ICLIENT PERSONAL SUPPORT SERVICES, LLC

Company Details

Entity Name: ICLIENT PERSONAL SUPPORT SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Apr 2018 (7 years ago)
Document Number: L18000099876
FEI/EIN Number 82-5416622
Address: 164 State Hwy. 83, Defuniak Springs, FL, 32433, US
Mail Address: 164 State Hwy. 83, Defuniak Springs, FL, 32433, US
ZIP code: 32433
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134688211 2019-03-18 2019-03-18 155 COUNTRY MANOR RD, DEFUNIAK SPRINGS, FL, 32435, US 155 COUNTRY MANOR RD, DEFUNIAK SPRINGS, FL, 32435, US

Contacts

Phone +1 850-902-9445

Authorized person

Name MS. LYNN K MILLER
Role CEO LLC
Phone 8509029445

Taxonomy

Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary No
Taxonomy Code 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
BEAVER LYNN Authorized Member 164 State Hwy. 83, Defuniak Springs, FL, 32433

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-22 164 State Hwy. 83, Defuniak Springs, FL 32433 No data
CHANGE OF MAILING ADDRESS 2022-04-22 164 State Hwy. 83, Defuniak Springs, FL 32433 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-04-10
Florida Limited Liability 2018-04-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State