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SLC AT HOME CARES, LLC

Company Details

Entity Name: SLC AT HOME CARES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Sep 2023 (a year ago)
Document Number: L23000423629
FEI/EIN Number 92-1911769
Address: 2113 B CITRUS BLVD, LEESBURG, FL 34748
Mail Address: 712 WILLARD AVENUE, FRUITLAND PARK, FL 34731
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730941931 2024-01-24 2024-01-24 108 SUE LN, LADY LAKE, FL, 321594395, US 2113 CITRUS BLVD STE B, LEESBURG, FL, 347483018, US

Contacts

Phone +1 352-630-9879

Authorized person

Name DENISE GRAHAM
Role OWNER
Phone 3526309879

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role Address
GRAHAM, DENISE Agent 108 SUE LANE, LADY LAKE, FL 32159

Manager

Name Role Address
GRAHAM, DENISE Manager 108 SUE LANE, LADY LAKE, FL 32159

Documents

Name Date
ANNUAL REPORT 2024-05-01
Florida Limited Liability 2023-09-11

Date of last update: 09 Jan 2025

Sources: Florida Department of State