| Entity Name: | PALMETTO LIVING FACILITY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Sep 2003 (21 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P03000099891 |
| FEI/EIN Number | 201042425 |
| Address: | 16350 NW 88 PATH, MIAMI LAKES, FL, 33018 |
| Mail Address: | 16350 NW 88 PATH, MIAMI LAKES, FL, 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720101421 | 2007-04-09 | 2020-08-22 | 16350 N. W. 88 PATH, MIAMI LAKES, FL, 33018, US | 16350 N. W. 88 PATH, MIAMI LAKES, FL, 33018, US | |||||||||||||||||||
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| Phone | +1 305-300-6930 |
| Fax | 3058169996 |
Authorized person
| Name | MS. VIVIAN BOUZA I |
| Role | OWNER ADMINISTRATOR |
| Phone | 3053006930 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10508 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOUZA VIVIAN R | Agent | 6981 W 24 CT, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| BOUZA VIVIAN | President | 6981 W 24 CT, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2005-04-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-29 | 16350 NW 88 PATH, MIAMI LAKES, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-29 | 16350 NW 88 PATH, MIAMI LAKES, FL 33018 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-04-09 |
| ANNUAL REPORT | 2006-05-01 |
| REINSTATEMENT | 2005-04-29 |
| Domestic Profit | 2003-09-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
