Entity Name: | CAMPBELL'S MULTI-SERVICE OUTREACH CENTER INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 21 Feb 2007 (18 years ago) |
Date of dissolution: | 26 Sep 2008 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2008 (16 years ago) |
Document Number: | N07000001848 |
Address: | 715 HEMMENWAY DRIVE, WINTER HAVEN, FL, 33881 |
Mail Address: | PO BOX 403, WINTER HAVEN, FL, 33881 |
ZIP code: | 33881 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831837616 | 2022-05-23 | 2022-05-23 | 715 HEMENWAY DR NE, WINTER HAVEN, FL, 338812700, US | 211 DORIS DR, LAKELAND, FL, 338131006, US | |||||||||||||||
|
Phone | +1 863-860-4516 |
Fax | 8638374413 |
Authorized person
Name | MS. LATANGRA MCINTOSH MCINTOSH |
Role | OWNER |
Phone | 8638604516 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MCINTOSH LATANGRA M | Agent | 715 HEMMENWAY DRIVE, WINTER HAVEN, FL, 33881 |
Name | Role | Address |
---|---|---|
MCINTOSH LATANGRA M | President | 715 HEMMENWAY DRIVE, WINTER HAVEN, FL, 33881 |
Name | Role | Address |
---|---|---|
JACKSON ANTWAN L | Vice President | 852 AVE SNE, WINTER HAVEN, FL, 33881 |
Name | Role | Address |
---|---|---|
JACKSON SORAYA A | Treasurer | 852 AVE S NE, WINTER HAVEN, FL, 33881 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
Domestic Non-Profit | 2007-02-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State