| Entity Name: | RESIDENTIAL SERVICES OF VOLUSIA COUNTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jul 2000 (25 years ago) |
| Date of dissolution: | 10 Oct 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Oct 2012 (12 years ago) |
| Document Number: | P00000072125 |
| FEI/EIN Number | 593691400 |
| Address: | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518101609 | 2009-04-21 | 2009-04-21 | 647 S WOODLAND BLVD, DELAND, FL, 327205810, US | 647 S WOODLAND BLVD, DELAND, FL, 327205810, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-734-4830 |
| Fax | 3867344536 |
Authorized person
| Name | MR. WALKER SCOTT RICHARDSON JR. |
| Role | ADMINISTRATOR |
| Phone | 3867344830 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL1077 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142116600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RICHARDSON WALKER S | Agent | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| RICHARDSON WALKER S | President | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| BOYD BONNIE | Vice President | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-29 | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF MAILING ADDRESS | 2010-09-29 | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-09-29 | 120 PONCE DELEON BOULEVARD, DAYTONA BEACH, FL 32114 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-10-10 |
| ANNUAL REPORT | 2012-02-21 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-09-29 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-06-29 |
| ANNUAL REPORT | 2008-01-28 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-01-20 |
| ANNUAL REPORT | 2005-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
