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T J SMITH AND D GOODRICH CENTER LLC

Company Details

Entity Name: T J SMITH AND D GOODRICH CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 May 2022 (3 years ago)
Document Number: L22000219829
FEI/EIN Number 92-3492215
Address: 507 AVE J NW, WINTER HAVEN, FL 33881
Mail Address: 507 AVE J NW, WINTER HAVEN, FL 33881
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740977594 2023-04-21 2023-04-21 507 AVENUE J NW, WINTER HAVEN, FL, 338814047, US 507 AVENUE J NW, WINTER HAVEN, FL, 338814047, US

Contacts

Phone +1 863-224-7886
Fax 8632914884

Authorized person

Name MRS. CHARLENA S LATTIMORE
Role ADMINISTRATOR
Phone 8632247886

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
LATTIMORE, CHARLENA Agent 513 AVE J NW, WINTER HAVEN, FL 33881

Administrator

Name Role Address
LATTIMORE, CHARLENA Administrator 507 AVE J NW, WINTER HAVEN, FL 33881

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-06
Florida Limited Liability 2022-05-10

Date of last update: 11 Feb 2025

Sources: Florida Department of State