| Entity Name: | ANSLEY COVE HEALTHCARE AND REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Oct 2024 (4 months ago) |
| Document Number: | L24000420044 |
| Address: | 505 ARIANA AVENUE, AUBURNDALE, FL 33823 |
| Mail Address: | 505 ARIANA AVENUE, AUBURNDALE, FL 33823 |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578383337 | 2024-10-15 | 2024-10-15 | 505 ARIANA AVE, AUBURNDALE, FL, 338234139, US | 1301 W MAITLAND BLVD, MAITLAND, FL, 327514338, US | |||||||||||||
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| Phone | +1 321-282-3628 |
Authorized person
| Name | SAVITRI JOHNSON |
| Role | ADMINISTRATIVE ASSISTANT / AR |
| Phone | 8632260358 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAY, N. DWAYNE, JR., ESQ | Agent | 315 E. ROBINSON STREET, SUITE 600, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| GARRARD V, LOUIS G | Manager | 505 ARIANA AVENUE, AUBURNDALE, FL 33823 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-03 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
