| Entity Name: | GRACEVILLE HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jul 2022 (3 years ago) |
| Document Number: | M22000010488 |
| FEI/EIN Number | 88-3208038 |
| Address: | 300 PROVIDER COURT, RICHMOND, KY 40475 |
| Mail Address: | 1083 SANDERS AVE, GRACEVILLE, FL 32440 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346976842 | 2022-07-27 | 2022-07-27 | 1083 SANDERS AVE, GRACEVILLE, FL, 324401854, US | 1083 SANDERS AVE, GRACEVILLE, FL, 324401854, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-263-4447 |
Authorized person
| Name | MAYER FISCHL |
| Role | CFO |
| Phone | 7187576399 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SCHLANGER, ALAN | Authorized Person | 6085 STRICKLAND AVENUE, BROOKLYN, NY 11234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-28 | 300 PROVIDER COURT, RICHMOND, KY 40475 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-19 |
| Foreign Limited | 2022-07-07 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
