BOYS' HOME ASSOCIATION, INC.

Company Details

Entity Name:	BOYS' HOME ASSOCIATION, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Inactive
Date Filed:	25 Oct 1990 (34 years ago)
Document Number:	N40972
FEI/EIN Number	590624369
Address:	2354 UNIVERSITY BLVD., NORTH, JACKSONVILLE, FL, 32211-0296
Mail Address:	2354 UNIVERSITY BLVD., NORTH, JACKSONVILLE, FL, 32211-0296
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1205986643

2007-01-10

2020-08-22

2354 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113228, US

2354 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113228, US

Contacts

Phone

+1 904-421-6040

Authorized person

Name	MRS. COLLEEN SURMAN
Role	DIRECTOR OF MEDICAID SERVICES
Phone	9044216040

Taxonomy

Taxonomy Code	251B00000X - Case Management Agency
Is Primary	Yes

Agent

Name	Role	Address
BROWN ROBERT G	Agent	2354 UNIVERSITY BLVD., N, JACKSONVILLE, FL, 32211

President

Name	Role	Address
BROWN ROBERT G	President	2354 UNIVERSITY BLVD N, JACKSONVILLE, FL, 32211

Director

Name	Role	Address
LEE TED E	Director	12242 SPINEY RIDGE DRIVE, JACKSONVILLE, FL, 32225
WOOLVERTON FRED T	Director	3023 FOREST CIRCLE, JACKSONVILLE, FL, 32257

Chairman

Name	Role	Address
KRUG DONALD	Chairman	54292 MARLEE ROAD, CALLAHAN, FL, 32011

Treasurer

Name	Role	Address
EDWARDS GREG	Treasurer	4898 S. ATLANTIC AVENUE, PONCE INLET, FL, 32127

Secretary

Name	Role	Address
JAPOUR FRANK G	Secretary	611 D'ORLEANS COURT, JACKSONVILLE, FL, 32211

Events

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2015-01-30	No data	No data
EVENT CONVERTED TO NOTES	1990-11-28	No data	No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State