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LOTUS BLOSSOM SUPPORT SERVICES LLC

Company Details

Entity Name: LOTUS BLOSSOM SUPPORT SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Dec 2023 (a year ago)
Document Number: L23000543434
FEI/EIN Number 95-4745927
Address: 54 MARIGOLD DR, CRAWFORDVILLE, FL 32327
Mail Address: 54 MARIGOLD DR, CRAWFORDVILLE, FL 32327
ZIP code: 32327
County: Wakulla
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295503126 2023-12-20 2024-07-31 54 MARIGOLD DR, CRAWFORDVILLE, FL, 32327, US 54 MARIGOLD DR, CRAWFORDVILLE, FL, 32327, US

Contacts

Phone +1 850-408-3717

Authorized person

Name ANDRE SINGLETON GAY
Role OWNER
Phone 8504083717

Taxonomy

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

Agent

Name Role Address
SINGLETON GAY, ANDRE Agent 54 MARIGOLD DR, CRAWFORDVILLE, FL 32327

Manager

Name Role Address
SINGLETON GAY, ANDRE Manager 54 MARIGOLD DR, CRAWFORDVILLE, FL 32327

Documents

Name Date
ANNUAL REPORT 2024-04-25
Florida Limited Liability 2023-12-07

Date of last update: 08 Jan 2025

Sources: Florida Department of State