| Entity Name: | FAIRLAWNS ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2022 (3 years ago) |
| Document Number: | L22000223698 |
| FEI/EIN Number | 88-2581014 |
| Address: | 911 NW 198 ST, MIAMI GARDENS, FL, 33169, US |
| Mail Address: | 911 NW 198 ST, MIAMI GARDENS, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346953817 | 2022-12-29 | 2022-12-29 | 911 NW 198TH ST, MIAMI GARDENS, FL, 331693012, US | 911 NW 198TH ST, MIAMI GARDENS, FL, 331693012, US | |||||||||||||||||||||
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| Phone | +1 305-653-8465 |
| Fax | 3056538465 |
Authorized person
| Name | DYNETTA ROBINSON |
| Role | OWNER/ADMIN |
| Phone | 3053355105 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13762 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBINSON DYNETTA | Agent | 911 NW 198 ST, MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| ROBINSON DYNETTA | Authorized Member | 911 NW 198 ST, MIAMI GARDENS, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| LOUISE BRADLEY ANGELICA E | Manager | 911 NW 198 ST, MIAMI GARDENS, FL, 33169 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-20 |
| Florida Limited Liability | 2022-05-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
