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COMPLETE CARE AT HOME-NORTH FLORIDA LLC

Company Details

Entity Name: COMPLETE CARE AT HOME-NORTH FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jun 2024 (7 months ago)
Document Number: L24000286241
Address: 515 PALM COAST PARKWAY SW, SUITE #5, PALM COAST, FL, 32137, US
Mail Address: 515 PALM COAST PARKWAY SW, SUITE #5, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497593818 2024-07-18 2024-07-18 515 PALM COAST PKWY SW, PALM COAST, FL, 321374739, US 515 PALM COAST PKWY SW, PALM COAST, FL, 321374739, US

Contacts

Phone +1 386-271-2737

Authorized person

Name CAROLYN JUNE AIJIAN
Role ADMINISTRATOR
Phone 8054526688

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role
TK REGISTERED AGENT, INC. Agent

Documents

Name Date
Florida Limited Liability 2024-06-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State