| Entity Name: | LILY MARIE HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Feb 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Apr 2024 (10 months ago) |
| Document Number: | L24000074122 |
| FEI/EIN Number | 99-1256286 |
| Address: | 6700 PINES BLVD, HOLLYWOOD, FL 33024 |
| Mail Address: | 6700 PINES BLVD, HOLLYWOOD, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386495505 | 2024-03-27 | 2024-03-27 | 6700 PINES BLVD, PEMBROKE PINES, FL, 330247544, US | 6700 PINES BLVD, PEMBROKE PINES, FL, 330247544, US | |||||||||||||
|
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| Phone | +1 786-273-0802 |
Authorized person
| Name | JACKIE DEZARD |
| Role | OWNER |
| Phone | 7862730802 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEZARD, JACKIE | Agent | 6700 PINES BLVD, HOLLYWOOD, FL 33024 |
| Name | Role | Address |
|---|---|---|
| DEZARD, JACKIE | Manager | 6700 PINES BLVD, HOLLYWOOD, FL 33024 |
| DEZARD, JAILA | Manager | 6700 PINES BLVD, HOLLYWOOD, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-04-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-09 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
