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RIVER HOUSE WELLNESS, LLC - Florida Company Profile

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Company Details

Entity Name: RIVER HOUSE WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jul 2024 (a year ago)
Document Number: L24000318244
FEI/EIN Number 99-4023067
Address: 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL, 34957, US
Mail Address: 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL, 34957, US
ZIP code: 34957
City: Jensen Beach
County: Martin
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PROCTOR DOUGLAS K Agent 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL, 34957
PROCTOR DOUGLAS K Manager 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL, 34957
PARKER MICHAEL C Manager 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL, 34957

National Provider Identifier

NPI Number:
1649098302
Certification Date:
2024-10-01

Authorized Person:

Name:
DOUG PROCTOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
323P00000X - Psychiatric Residential Treatment Facility
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-07-17

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Date of last update: 02 Aug 2025

Sources: Florida Department of State