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BEACON RECOVERY CENTER LLC

Company Details

Entity Name: BEACON RECOVERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jan 2023 (2 years ago)
Document Number: L23000026303
FEI/EIN Number 921709258
Address: 803 NW 2ND AVE, POMPANO BEACH, FL, 33060, US
Mail Address: 120 NORTH FEDERAL HIGHWAY, SUITE 101, LAKE WORTH, FL, 33460, US
ZIP code: 33060
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356037477 2023-04-12 2023-08-25 120 N FEDERAL HWY STE 206, LAKE WORTH, FL, 334603493, US 803 NW 2ND AVE, POMPANO BEACH, FL, 330605604, US

Contacts

Phone +1 772-812-9652
Fax 8335350164

Authorized person

Name JARED TURNER
Role BILLING MANAGER
Phone 7728129652

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
CATALYST TAX & CONSULTING LLC Agent 2200 CORPORATE BLVD NW, BOCA RATON, FL, 33431

Manager

Name Role Address
RICCI MARYANN Manager 120 N. FEDERAL HWY, SUITE 101, LAKE WORTH, FL, 33460

Documents

Name Date
ANNUAL REPORT 2024-02-05
Florida Limited Liability 2023-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State