| Entity Name: | INDEPENDENT MENTOR SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Aug 2022 (2 years ago) |
| Document Number: | L22000349978 |
| FEI/EIN Number | 88-3303252 |
| Address: | 106 DIXIE DR, UNIT A, TALLAHASSEE, FL, 32304 |
| Mail Address: | 106 DIXIE DR, UNIT A, TALLAHASSEE, FL, 32304 |
| ZIP code: | 32304 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073241394 | 2022-08-13 | 2022-08-13 | 106 DIXIE DR APT A, TALLAHASSEE, FL, 323043042, US | 106 DIXIE DR APT A, TALLAHASSEE, FL, 323043042, US | |||||||||||||
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| Phone | +1 850-851-6881 |
Authorized person
| Name | JONATHAN D YON |
| Role | OWNER |
| Phone | 8508516881 |
Taxonomy
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONATHAN D. YON | Agent | 106 DIXIE DR, TALLAHASSEE, FL, 32304 |
| Name | Role | Address |
|---|---|---|
| Yon Jonathan D | Manager | 106 DIXIE DR, TALLAHASSEE, FL, 32304 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-08-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
