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BROOKS MANOR LLC

Company Details

Entity Name: BROOKS MANOR LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jan 2023 (2 years ago)
Document Number: L23000040043
FEI/EIN Number 92-2053607
Address: 2043 SE WATERCREST STREEET, PORT ST LUCIE, FL, 34984
Mail Address: 2043 SE WATERCREST STREEET, PORT ST LUCIE, FL, 34984
ZIP code: 34984
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811694730 2023-02-10 2024-04-09 2043 SE WATERCREST ST, PORT ST LUCIE, FL, 349844768, US 2043 SE WATERCREST ST, PORT ST LUCIE, FL, 349844768, US

Contacts

Phone +1 772-607-3858

Authorized person

Name DEVINDRA PERSAUD
Role MGR
Phone 7726073858

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary No
Taxonomy Code 3104A0630X - Assisted Living Facility (Behavioral Disturbances)
Is Primary Yes
Taxonomy Code 311Z00000X - Custodial Care Facility
Is Primary No

Agent

Name Role Address
PERSAUD DEVIN Agent 2043 SE WATERCREST ST, PORT ST LUCIE, FL, 34984

Manager

Name Role Address
PERSAUD DEVINDRA Manager 2043 SE WATERCREST ST, PORT SAINT LUCIE, FL, 34984

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-01-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State