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PREMIER ASSISTED LIVING FACILITY, LLC - Florida Company Profile

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Company Details

Entity Name: PREMIER ASSISTED LIVING FACILITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Jan 2019 (7 years ago)
Document Number: L19000005688
FEI/EIN Number 83-2985321
Mail Address: 138 passage drive, fleming island, FL, 32003, US
Address: 319 Eldridge Ave, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ANDRAWIS ASHRAF Manager 138 passage drive, fleming island, FL, 32003
ANDRAWIS JACKIE Manager 138 passage drive, fleming island, FL, 32003
ANDRAWIS ASHRAF Agent 138 passage drive, Fleming Island, FL, 32003

National Provider Identifier

NPI Number:
1962140210
Certification Date:
2022-05-25

Authorized Person:

Name:
ASHRAF GAYED ANDRAWIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
9046448378

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-20 319 Eldridge Ave, Orange Park, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-20 138 passage drive, Fleming Island, FL 32003 -
CHANGE OF MAILING ADDRESS 2021-04-07 319 Eldridge Ave, Orange Park, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-01-14
Florida Limited Liability 2019-01-03

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Date of last update: 03 Aug 2025

Sources: Florida Department of State