| Entity Name: | ANGEL OF GOD HEART SUPPORT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jun 2023 (2 years ago) |
| Document Number: | L23000302701 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1662 TANGELO ST., LAKE WALES, FL 33898 |
| Mail Address: | 1662 TANGELO ST., LAKE WALES, FL 33898 |
| ZIP code: | 33898 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265111017 | 2023-07-17 | 2023-07-17 | 1662 TANGELO ST, LAKE WALES, FL, 338987406, US | 1662 TANGELO ST, LAKE WALES, FL, 338987406, US | |||||||||||||
|
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| Phone | +1 863-440-2824 |
Authorized person
| Name | ANGEL NICKERSON |
| Role | OWNER |
| Phone | 8634402824 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICKERSON, ANGEL | Agent | 1662 TANGELO ST, LAKE WALES, FL 32303 |
| Name | Role | Address |
|---|---|---|
| NICKERSON, ANGEL | Manager | 1662 TANGELO ST, LAKE WALES, FL 33898 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| Florida Limited Liability | 2023-06-23 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
