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