| Entity Name: | FORUM QUALITY CARE SERVICES,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 02 Aug 2006 (19 years ago) |
| Date of dissolution: | 23 Feb 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Feb 2007 (18 years ago) |
| Document Number: | N06000008180 |
| Address: | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| Mail Address: | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366559726 | 2006-08-23 | 2020-08-22 | 6430 NE 21ST RD, FORT LAUDERDALE, FL, 333081060, US | 6430 NE 21ST RD, FORT LAUDERDALE, FL, 333081060, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 954-805-8551 |
| Fax | 9547766981 |
Authorized person
| Name | CHRISTINA ANNE ANDERSON |
| Role | CEO |
| Phone | 9548058551 |
Taxonomy
| Taxonomy Code | 251V00000X - Voluntary or Charitable Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRANCESCHINI PATRICIA A | Agent | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| ANDERSON CHRISTINA | Director | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| ESSIEN SAMUEL | Director | 16401 NW 37TH AVE #D-130, MIMAI GARDENS, FL, 33054 |
| Name | Role | Address |
|---|---|---|
| ANDERSON CHRISTINA | President | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| ESSIEN SAMUEL | President | 16401 NW 37TH AVE #D-130, MIMAI GARDENS, FL, 33054 |
| Name | Role | Address |
|---|---|---|
| ANDERSON CHRISTINA | Chief Executive Officer | 6430 NE 21ST ROAD, FT LAUDERDALE, FL, 33308 |
| ESSIEN SAMUEL | Chief Executive Officer | 16401 NW 37TH AVE #D-130, MIMAI GARDENS, FL, 33054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-02-23 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2007-02-23 |
| Domestic Non-Profit | 2006-08-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
