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ARCHANGEL RAPHAEL MINISTRY CENTER, INC.

Company Details

Entity Name: ARCHANGEL RAPHAEL MINISTRY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Nov 2023 (a year ago)
Document Number: N23000013903
FEI/EIN Number 77-0612203
Address: 19800 ALLAIRE LANE, FORT MEYERS, FL, 33908
Mail Address: 19800 ALLAIRE LANE, FORT MEYERS, FL, 33908
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720847726 2024-03-13 2024-03-13 19800 ALLAIRE LN, FORT MYERS, FL, 339084828, US 19800 ALLAIRE LN, FORT MYERS, FL, 339084828, US

Contacts

Phone +1 918-704-8881

Authorized person

Name GEORGE REZKALLA
Role GENERAL MANAGER
Phone 9187048881

Taxonomy

Taxonomy Code 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary Yes

Agent

Name Role Address
BOUTROS JOACHIM FATHER Agent 19800 ALLAIRE LANE, FORT MEYERS, FL, 33908

Trustee

Name Role Address
YOUSSEF H G BISHOP Trustee P.O. BOX 1005, COLLEYVILLE, TX, 76034
BASIL BISHOP Trustee 4951 S WASHINGTON AVE, TITUSVILLE, FL, 32780
BOUTROS JOACHIM FR Trustee 19800 ALLAIRE LANE, FORT MEYERS, FL, 33908
NICOULA MICHAEL Trustee 518 CREEKSIDE COURT, SAFETY HARBOR, FL, 34695

Manager

Name Role Address
Gadallah Nevine Manager 19800 ALLAIRE LANE, FORT MEYERS, FL, 33908

Documents

Name Date
ANNUAL REPORT 2024-08-04
Domestic Non-Profit 2023-11-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State