Entity Name: | BUTLER'S COMMUNITY SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 13 Feb 2001 (24 years ago) |
Document Number: | N01000001024 |
FEI/EIN Number | 593649584 |
Address: | 2860 N Highway 71, Marianna, FL, 32446, US |
Mail Address: | POST OFFICE BOX 409, GREENWOOD, FL, 32443 |
ZIP code: | 32446 |
County: | Jackson |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306167127 | 2010-06-15 | 2010-06-15 | 3771 HIGHWAY 69, GREENWOOD, FL, 324432149, US | 3771 HIGHWAY 69, GREENWOOD, FL, 324432149, US | |||||||||||||||||||||||||||
|
Phone | +1 850-592-3200 |
Fax | 8505928669 |
Authorized person
Name | MRS. IDWELLA GAINES BUTLER |
Role | PRESIDENT |
Phone | 8505923200 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 450644896 |
State | FL |
Issuer | MEDICAID |
Number | 450644898 |
State | FL |
Name | Role | Address |
---|---|---|
BUTLER IDWELLA | Agent | 2860 HWY 71, MARIANNA, FL, 32446 |
Name | Role | Address |
---|---|---|
BUTLER IDWELLA G | President | P.O. BOX 409, GREENWOOD, FL, 32443 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2018-03-30 | No data | No data |
AMENDMENT | 2007-08-20 | No data | No data |
CANCEL ADM DISS/REV | 2003-11-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State