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BLUE FOUNTAIN V HOME CARE, LLC

Company Details

Entity Name: BLUE FOUNTAIN V HOME CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Apr 2024 (9 months ago)
Document Number: L24000197967
Address: 233 BORDEAUX AVE NE, PALM BAY, FL 32907 UN
Mail Address: 2440 EMERSON DRIVE SE, PALM BAY, FL 32909
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649012642 2024-06-10 2024-06-10 2440 EMERSON DR SE, PALM BAY, FL, 329094972, US 233 BORDEAUX AVE NE, PALM BAY, FL, 329073222, US

Contacts

Phone +1 954-559-3265
Fax 3219144069

Authorized person

Name MAGDA DELINOIS
Role OWNER
Phone 9545593265

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
DELINOIS, MAGDA Agent 2440 EMERSON DRIVE SE, PALM BAY, FL 32909

Manager

Name Role Address
DELINOIS, MAGDA Manager 2440 EMERSON DRIVE SE, PALM BAY, FL 32909 UN

Documents

Name Date
Florida Limited Liability 2024-04-29

Date of last update: 08 Feb 2025

Sources: Florida Department of State