Entity Name: | SLOCUM'S ADULT FAMILY CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 13 Jul 2022 (3 years ago) |
Document Number: | L22000312182 |
FEI/EIN Number | 88-3222413 |
Address: | 21321 NE 17TH LOOP, LAWTY, FL 32058 |
Mail Address: | 21321 NE 17TH LOOP, LAWTY, FL 32058 |
ZIP code: | 32058 |
County: | Bradford |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821716390 | 2022-08-19 | 2022-08-19 | 21321 NE 17TH LOOP, LAWTEY, FL, 320585234, US | 21321 NE 17TH LOOP, LAWTEY, FL, 320585234, US | |||||||||||||
|
Phone | +1 352-304-1797 |
Authorized person
Name | DIONE SLOCUM |
Role | OWNER |
Phone | 3523041797 |
Taxonomy
Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Slocum, DIONE P | Agent | 21321 NE 17TH LOOP, LAWTY, FL 32058 |
Name | Role | Address |
---|---|---|
SLOCUM, DIONE P | OWNER | 21321 17TH LOPP, LAWTY, FL 32058 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2023-03-09 | Slocum, DIONE P | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-03-09 |
Florida Limited Liability | 2022-07-13 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State