| Entity Name: | HOUSE OF WELLNESS FAMILY HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 May 2024 (8 months ago) |
| Document Number: | L24000242027 |
| Address: | 791 GLENDALE LANE, ORANGE PARK, FL, 32065, UN |
| Mail Address: | 791 GLENDALE LANE, ORANGE PARK, FL, 32065, UN |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073345054 | 2024-08-17 | 2024-08-17 | 791 GLENDALE LN, ORANGE PARK, FL, 320655628, US | 791 GLENDALE LN, ORANGE PARK, FL, 320655628, US | |||||||||||||||||||||
|
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| Phone | +1 904-328-4485 |
Authorized person
| Name | KETTLY JEAN LOUIS |
| Role | OWNER |
| Phone | 9043284485 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOUIS KETTLY KMRS. | Agent | 791 GLENDALE LANE, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| LOUIS KETTLY JMRS | Manager | 791 GLENDALE LANE, ORANGE PARK, FL, 32065 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
