| Entity Name: | ALZHEIMER'S TREATMENT CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jun 2021 (4 years ago) |
| Document Number: | L21000265988 |
| FEI/EIN Number | 87-2000923 |
| Mail Address: | 18301 TELEGRAPH CREEK LN, ALVA, FL, 33920, US |
| Address: | 3033 WINKLER AVE, #200, FORT MYERS, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053085829 | 2021-08-05 | 2021-08-05 | 18301 TELEGRAPH CREEK LN, ALVA, FL, 339203141, US | 18301 TELEGRAPH CREEK LN, ALVA, FL, 339203141, US | |||||||||||||||||||
|
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| Phone | +1 239-204-7307 |
Authorized person
| Name | WENDY ROBINSON BOND |
| Role | SOLE PROPRIETOR |
| Phone | 2392047307 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273483400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOND WENDY | Agent | 18301 TELEGRAPH CREEK LN, ALVA, FL, 33920 |
| Name | Role | Address |
|---|---|---|
| Bond Wendy | Manager | 18301 TELEGRAPH CREEK LN, ALVA, FL, 33920 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-25 | 3033 WINKLER AVE, #200, FORT MYERS, FL 33916 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-25 |
| Florida Limited Liability | 2021-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
