| Entity Name: | PALATKA LPOC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2022 (3 years ago) |
| Document Number: | L22000172769 |
| FEI/EIN Number | 88-2033159 |
| Address: | 3418 BEECH TRAIL, CLEARWATER, FL, 33761, UN |
| Mail Address: | 3418 BEECH TRAIL, CLEARWATER, FL, 33761, UN |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003521667 | 2023-01-18 | 2023-01-18 | 203 S MOODY RD, PALATKA, FL, 321773903, US | 203 S MOODY RD, PALATKA, FL, 321773903, US | |||||||||||||||
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| Phone | +1 386-329-9905 |
| Fax | 3863299906 |
Authorized person
| Name | THOMAS E MOSELY |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3863299905 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DENTINGER THOMAS A | Agent | 3418 BEECH TRAIL, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| DENTINGER THOMAS A | Authorized Member | 3418 BEECH TRAIL, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| AMMONS DAVID W | Manager | 2304 WESVILL COURT SUITE 100, RALEIGH, NC, 27607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000082605 | VINTAGE CARE OF PALATKA | ACTIVE | 2022-07-12 | 2027-12-31 | No data | 3418 BEECH TRAIL, CLEARWATER, FL, 33761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-01 |
| Florida Limited Liability | 2022-04-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
