| Entity Name: | M&M SUPPORTIVE LIVING SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2022 (3 years ago) |
| Document Number: | L22000173037 |
| FEI/EIN Number | 920424580 |
| Address: | 5220 N PEARL ST, SUITE10, JACKSONVILLE, FL, 32208, UN |
| Mail Address: | 965 ROCK BAY DR, SUITE10, JACKSONVILLE, FL, 32218, UN |
| ZIP code: | 32208 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447754478 | 2018-03-23 | 2018-03-23 | 2514 MAYAPPLE RD E, JACKSONVILLE, FL, 322114268, US | 2514 MAYAPPLE RD E, JACKSONVILLE, FL, 322114268, US | |||||||||||||
|
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| Phone | +1 904-616-8146 |
Authorized person
| Name | MIRANDA NICOLE POLLARD |
| Role | PRESIDENT |
| Phone | 9046168146 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS MIRANDA N | Agent | 965 ROCK BAY DR, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| THOMAS MIRANDA N | Managing Member | 965 ROCK BAY DR, JACKSONVILLE, FL, 32218 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
