| Entity Name: | PETERSON ASSISTED LIVING FACILITY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PETERSON ASSISTED LIVING FACILITY INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 15 Oct 2003 (22 years ago) |
| Date of dissolution: | 01 Oct 2004 (21 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 01 Oct 2004 (21 years ago) |
| Document Number: | P03000114117 |
| Address: | 1622 SILVER ST, JACKSONVILLE, FL, 32206 |
| Mail Address: | 1622 SILVER ST, JACKSONVILLE, FL, 32206 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447697628 | 2013-05-29 | 2013-05-29 | 1622 SILVER ST, JACKSONVILLE, FL, 322064446, US | 1622 SILVER ST, JACKSONVILLE, FL, 322064446, US | |||||||||||||||||||||||||
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| Phone | +1 904-356-3022 |
| Fax | 9043509165 |
Authorized person
| Name | MS. LAVERNE JACKSON |
| Role | DIRECTOR OF OPERATION |
| Phone | 9043563922 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8638 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140750300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETERSON MARY | Agent | 1622 SILVER ST, JACKSONVILLE, FL, 32206 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Name | Date |
|---|---|
| Domestic Profit | 2003-10-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
