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CHOICES RESIDENTIAL GROUP CARE INC

Company Details

Entity Name: CHOICES RESIDENTIAL GROUP CARE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 05 Apr 2018 (7 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: N18000003844
FEI/EIN Number 82-5073767
Address: 667 DELTONA BLVD SUITE 101, DELTONA, FL, 32725
Mail Address: 5224 W STATE RD 46 #325, SANFORD, FL, 32771
ZIP code: 32725
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609363613 2018-04-16 2018-04-16 5224 W STATE ROAD 46 # 325, SANFORD, FL, 327719230, US 667 DELTONA BLVD STE 101, DELTONA, FL, 327258151, US

Contacts

Phone +1 386-259-4985
Fax 8885582226

Authorized person

Name MR. SHANNON L THOMAS SR.
Role CLINICAL SERVICES DIRECTOR
Phone 3862594985

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
THOMAS SHANNON LSR Agent 5224 W STATE RD 46 #325, SANFORD, FL, 32771

President

Name Role Address
THOMAS SHANNON LSR. President 5224 W STATE RD 46 #325, SANFORD, FL, 32771

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2019-04-01
Domestic Non-Profit 2018-04-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State