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MAGNOLIA GRACE SENIOR CARE LLC

Company Details

Entity Name: MAGNOLIA GRACE SENIOR CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Aug 2021 (3 years ago)
Document Number: L21000364511
FEI/EIN Number 87-2181169
Address: 910 S 8th street, FERNENDINA BEACH, FL, 32034, US
Mail Address: 910 S 8th street, FERNENDINA BEACH, FL, 32034, US
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558000851 2022-06-03 2024-07-17 910 S 8TH ST STE 130, FERNANDINA BEACH, FL, 320346700, US 910 S 8TH ST STE 130, FERNANDINA BEACH, FL, 320346700, US

Contacts

Phone +1 904-656-1315

Authorized person

Name DINITRA N WRICE
Role SOLE MBR
Phone 9048555114

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role Address
WRICE DINITRA N Agent 910 S 8th street, Fernandina Beach, FL, 32034

Manager

Name Role Address
WRICE DINITRA N Manager 910 S 8th street, Fernandina Beach, FL, 32034

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000020810 MAGNOLIA GRACE SENIOR CARE OF SOUTH FLORIDA ACTIVE 2023-02-13 2028-12-31 No data 910 S 8TH STREET, SUITE 121, FERNANDINA BEACH, FL, 32034

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-02 910 S 8th street, suite 130, Fernandina Beach, FL 32034 No data
CHANGE OF PRINCIPAL ADDRESS 2022-06-03 910 S 8th street, suite 130, FERNENDINA BEACH, FL 32034 No data
CHANGE OF MAILING ADDRESS 2022-06-03 910 S 8th street, suite 130, FERNENDINA BEACH, FL 32034 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-02
ANNUAL REPORT 2022-04-30
Florida Limited Liability 2021-08-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State