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LAMB OF GOD MINISTRIES, INCORPORATED

Company Details

Entity Name: LAMB OF GOD MINISTRIES, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 01 Jul 1986 (39 years ago)
Document Number: N15678
FEI/EIN Number 650009750
Address: 14512 SW Divot Dr, Indiantown, FL, 34956, US
Mail Address: 14512 SW Divot Dr, Indiantown, FL, 34956, US
ZIP code: 34956
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174815583 2011-05-04 2011-05-04 1012 S PARROTT AVE, OKEECHOBEE, FL, 349745268, US 1012 S PARROTT AVE, OKEECHOBEE, FL, 349745268, US

Contacts

Phone +1 863-467-2677
Fax 8634670677

Authorized person

Name MR. LYLE R FRIED
Role DIRECTOR
Phone 8634672677

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number 1947AD975000
State FL
Is Primary Yes

Agent

Name Role Address
FUGATE JAMES D Agent 14512 SW Divot Dr, Indiantown, FL, 34956

Chief Executive Officer

Name Role Address
FUGATE JAMES D Chief Executive Officer 14512 SW Divot Dr, Indiantown, FL, 34956

Vice President

Name Role Address
KNOWLES LANCE Vice President 14512 SW Divot Dr, Indiantown, FL, 34956

Director

Name Role Address
FUGATE JANET E Director 14512 SW DIVOT DRIVE, INDIANTOWN, FL, 34956
LANG PAT Director 14512 SW Divot Dr, Indiantown, FL, 34956

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2017-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
AMENDMENT 2014-04-21 No data No data
AMENDMENT 2006-05-12 No data No data
AMENDMENT 1989-11-08 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State