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LONGEVITY AND WELLBEING, LLC

Company Details

Entity Name: LONGEVITY AND WELLBEING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2021 (4 years ago)
Document Number: L21000144137
FEI/EIN Number 863180986
Address: 7039 STIRLING RD, DAVIE, FL, 33314, US
Mail Address: 7039 STIRLING RD, DAVIE, FL, 33314, US
ZIP code: 33314
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114591237 2021-05-13 2021-05-19 10160 NW 6TH ST, PEMBROKE PINES, FL, 330263983, US 10160 NW 6TH ST, PEMBROKE PINES, FL, 330263983, US

Contacts

Phone +1 786-350-0576

Authorized person

Name LISA SKIRVING
Role PRESIDENT
Phone 7863500576

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 107978600
State FL

Agent

Name Role Address
LISA A.W. SKIRVING Agent 7039 STIRLING RD, DAVIE, FL, 33314

Managing Member

Name Role Address
LISA A.W. SKIRVING Managing Member 7039 STIRLING RD, DAVIE, FL, 33314

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-19 7039 STIRLING RD, Suite 2304, DAVIE, FL 33314 No data
CHANGE OF MAILING ADDRESS 2022-02-19 7039 STIRLING RD, Suite 2304, DAVIE, FL 33314 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-19 7039 STIRLING RD, Suite 2304, DAVIE, FL 33314 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-02-19
Florida Limited Liability 2021-04-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State