| Entity Name: | KINGDOM COMPANION NURSE REGISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Mar 2024 (a year ago) |
| Document Number: | L24000107190 |
| Address: | 1601 BELVEDERE RD, E-300, WEST PALM BEACH, FL 33406 UN |
| Mail Address: | 1601 BELVEDERE RD, E-300, WEST PALM BEACH, FL 33406 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184459323 | 2024-09-06 | 2024-09-06 | 1601 BELVEDERE RD STE 300E, WEST PALM BEACH, FL, 334061554, US | 1601 BELVEDERE RD STE 300E, WEST PALM BEACH, FL, 334061554, US | |||||||||||||||||||
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| Phone | +1 561-507-1601 |
| Fax | 5612146139 |
Authorized person
| Name | AWILDA THEODORE |
| Role | OWNER/ADMINISTRATOR |
| Phone | 5615071601 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| THEODORE, AWILDA | Agent | 826 PARKWAY CT, GREENACRES, FL 33413 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-01 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
