| Entity Name: | TRUMAN WORDEN TRAINING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 24 Jan 1994 (31 years ago) |
| Document Number: | N94000000514 |
| FEI/EIN Number | 650473706 |
| Address: | 1001 N.E. 3RD AVE., POMPANO BEACH, FL, 33060, US |
| Mail Address: | 1001 N.E. 3RD AVE., POMPANO BEACH, FL, 33060 |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326213141 | 2008-04-23 | 2008-04-23 | 1001 NE 3RD AVE, POMPANO BEACH, FL, 330605712, US | 2331 N DIXIE HWY, POMPANO BEACH, FL, 330604960, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 954-786-0344 |
| Fax | 9547856635 |
| Phone | +1 954-784-5113 |
| Fax | 9547845136 |
Authorized person
| Name | MARSHA LINVILLE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9547860344 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 672209196 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 672209196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASTINO-GILL FONNIE | Agent | 400 N. FEDERAL HIGHWAY, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| INGALLS BRIAN | Vice President | 3100 NE 47TH CT TOWNHOUSE # 4, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| JOHNSON SANDY | Recording Secretary | 2411 NE 31ST. COURT, LIGHTHOUSE POINT, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| INGALLS BRIAN | Director | 3100 NE 47TH CT TOWNHOUSE # 4, FORT LAUDERDALE, FL, 33308 |
| LLOYD ROBERT | Director | 1373 S.W. 28TH AVE., DEERFIELD BEACH, FL, 33442 |
| CASTINO-GILL FONNIE | Director | 400 N. FEDERAL HIGHWAY, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| LLOYD ROBERT | President | 1373 S.W. 28TH AVE., DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| CASTINO-GILL FONNIE | Secretary | 400 N. FEDERAL HIGHWAY, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| CASTINO-GILL FONNIE | Treasurer | 400 N. FEDERAL HIGHWAY, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-05-26 | No data | No data |
| REINSTATEMENT | 1997-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
