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OBI'S ASSISTED LIVING FACILITY, LLC

Company Details

Entity Name: OBI'S ASSISTED LIVING FACILITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Dec 2020 (4 years ago)
Document Number: L20000377196
FEI/EIN Number 85-4245951
Address: 2122 MYRTLE AVE N, JACKSONVILLE, FL 32209 UN
Mail Address: 2122 N. Myrtle Ave, JACKSONVILLE 32209 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407591621 2022-05-02 2022-05-02 2122 N MYRTLE AVE, JACKSONVILLE, FL, 322095633, US 2122 N MYRTLE AVE, JACKSONVILLE, FL, 322095633, US

Contacts

Phone +1 904-728-7474

Authorized person

Name MAKAELA OBI
Role OWNER
Phone 9047287474

Taxonomy

Taxonomy Code 3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary Yes

Agent

Name Role Address
OBI, MAKAELA Agent 2122 N. Myrtle Ave, JACKSONVILLE, FL 32209

Manager

Name Role Address
OBI, MAKAELA Manager 2122 N. Myrtle Ave, JACKSONVILLE, FL 32209

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-05-01 2122 MYRTLE AVE N, JACKSONVILLE, FL 32209 UN No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 2122 N. Myrtle Ave, JACKSONVILLE, FL 32209 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
AMENDED ANNUAL REPORT 2021-09-16
ANNUAL REPORT 2021-04-11
Florida Limited Liability 2020-12-01

Date of last update: 14 Feb 2025

Sources: Florida Department of State