| Entity Name: | RECOVERY VILLAGE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jun 2024 (8 months ago) |
| Document Number: | L24000255752 |
| Address: | 5887 NW 66 WAY, PARKLAND, FL, 33067, US |
| Mail Address: | 5887 NW 66 WAY, PARKLAND, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174056527 | 2017-04-04 | 2017-04-04 | 5994 NW 74TH ST, PARKLAND, FL, 330672451, US | 5994 NW 74TH ST, PARKLAND, FL, 330672451, US | |||||||||||||
|
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| Phone | +1 305-992-5119 |
Authorized person
| Name | ROD MACK |
| Role | OWNER |
| Phone | 3059925119 |
Taxonomy
| Taxonomy Code | 3245S0500X - Children's Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACK RODERICK | Agent | 5887 NW 66 WAY, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| MACK RODERICK | Manager | 5887 NW 66 WAY, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| MACK RODERICK | Authorized Member | 5887 NW 66 WAY, PARKLAND, FL, 33067 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
