| Entity Name: | PROVISION HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Jul 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000340971 |
| Address: | 1824 CAMBRIDGE COVE CIRCLE, #201, LAKELAND, FL 33810 |
| Mail Address: | 1824 CAMBRIDGE COVE CIRCLE, #201, LAKELAND, FL 33810 |
| ZIP code: | 33810 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659044535 | 2021-07-27 | 2021-07-27 | 1824 CAMBRIDGE COVE CIR APT 201, LAKELAND, FL, 338100016, US | 1824 CAMBRIDGE COVE CIR APT 201, LAKELAND, FL, 338100016, US | |||||||||||||
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| Phone | +1 863-812-6589 |
Authorized person
| Name | VALERIE THOMAS |
| Role | OWNER |
| Phone | 8638126589 |
Taxonomy
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS, VALERIE | Agent | 1824 CAMBRIDGE COVE CIRCLE, #201, LAKELAND, FL 33810 |
| Name | Role | Address |
|---|---|---|
| THOMAS, VALERIE | Authorized Representative | 1824 CAMBRIDGE COVE CIRCLE, #201, FL 33810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-07-28 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
