| Entity Name: | SUPERIOR NEW LIFE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2024 (a year ago) |
| Document Number: | N24000002874 |
| Address: | 8009 N CAMERON AVENUE, TAMPA, FL, 33614, US |
| Mail Address: | 8009 N CAMERON AVENUE, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164282661 | 2024-03-21 | 2024-03-21 | 8009 N CAMERON AVE, TAMPA, FL, 336142592, US | 8009 N CAMERON AVE, TAMPA, FL, 336142592, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 813-442-8480 |
| Fax | 8134342483 |
Authorized person
| Name | MYLENA RUIZ MEDINA |
| Role | ADMINISTRATOR |
| Phone | 8134428480 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SIMON MARGARET A | Agent | 3314 W HENDERSON BLVD, TAMPA, FL, 33609-299 |
| Name | Role | Address |
|---|---|---|
| RUIZ MYLENA | President | 8009 N CAMERON AVENUE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| ALONSO ROLAND | Vice President | 8009 CAMERON AVENUE, TAMPA, FL, 33614 |
| Name | Date |
|---|---|
| Domestic Non-Profit | 2024-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
