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DOUGLAS ASSISTED LIVING FACILITY, INC. - Florida Company Profile

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Company Details

Entity Name: DOUGLAS ASSISTED LIVING FACILITY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 21 May 2002 (23 years ago)
Date of dissolution: 01 Oct 2004 (21 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 01 Oct 2004 (21 years ago)
Document Number: N02000003901
FEI/EIN Number 043675424

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
Mail Address: N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARTER MARY President N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
CARTER NATHAN Vice President N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
CARTER NATHAN Treasurer N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
INGRAM DEBORAH Secretary N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
INGRAM DEBORAH Treasurer N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
CARTER MARY Agent N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055
CARTER MARY Director N.E. 769 GURLEY AVE., LAKE CITY, FL, 32055

National Provider Identifier

NPI Number:
1417392150

Authorized Person:

Name:
MARY ALYCE CARTER
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
CHANGE OF PRINCIPAL ADDRESS 2003-05-20 N.E. 769 GURLEY AVE., LAKE CITY, FL 32055 -
CHANGE OF MAILING ADDRESS 2003-05-20 N.E. 769 GURLEY AVE., LAKE CITY, FL 32055 -
REGISTERED AGENT ADDRESS CHANGED 2003-05-20 N.E. 769 GURLEY AVE., LAKE CITY, FL 32055 -

Documents

Name Date
ANNUAL REPORT 2003-05-20
Domestic Non-Profit 2002-05-21

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Date of last update: 01 Jun 2025

Sources: Florida Department of State