| Entity Name: | MARIE A ALEXIS ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Oct 2021 (3 years ago) |
| Document Number: | L21000430804 |
| FEI/EIN Number | 87-2962923 |
| Address: | 63 RYBERRY DR, PALM COAST, FL, 32164, US |
| Mail Address: | 63 RYBERRY DR, PALM COAST, FL, 32164, US |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922763416 | 2021-11-01 | 2022-02-07 | 63 RYBERRY DR, PALM COAST, FL, 321646438, US | 63 RYBERRY DR, PALM COAST, FL, 321646438, US | |||||||||||||||||||
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| Phone | +1 386-338-7974 |
| Fax | 3862637649 |
Authorized person
| Name | MARIE ANTOINETTE ALEXIS |
| Role | CEO/ADMINISTRATOR |
| Phone | 3863387974 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALEXIS MARIE A | Agent | 63 RYBERRY DR, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| ALEXIS MARIE A | Chief Executive Officer | 63 RYBERRY DR, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| ALEXIS JEAN G | Secretary | 63 RYBERRY DR, PALM COAST, FL, 32164 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-10-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
