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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
DELINOIS, MAGDA | Agent | 2440 EMERSON DRIVE SE, PALM BAY, FL 32909 |
Name | Role | Address |
---|---|---|
DELINOIS, MAGDA | Manager | 2440 EMERSON DRIVE SE, PALM BAY, FL 32909 UN |
Name | Date |
---|---|
Florida Limited Liability | 2024-04-29 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State