| Entity Name: | COMMUNITY HEALTH AND REHABILITATION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Nov 2003 (21 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000141473 |
| FEI/EIN Number | 20-0439191 |
| Address: | 3611 TRANSMITTER ROAD, PANAMA CITY, FL 32404 |
| Mail Address: | 3611 TRANSMITTER ROAD, PANAMA CITY, FL 32404 |
| ZIP code: | 32404 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154305688 | 2005-11-29 | 2020-08-22 | 3611 TRANSMITTER RD, PANAMA CITY, FL, 324049799, US | 3611 TRANSMITTER RD, PANAMA CITY, FL, 324049799, US | |||||||||||||||||||||||
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| Phone | +1 850-747-9688 |
| Fax | 8507479992 |
Authorized person
| Name | MR. JOHN EARL WARREN |
| Role | ADMINISTRATOR |
| Phone | 8507479688 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | L9F |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRISON, WILLIAM GJR | Agent | 420 W BEACH DRIVE, PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| GALLAGHER, DUANE | Director | 3611 TRANSMITTER ROAD, PANAMA CITY, FL 32404 |
| Name | Role | Address |
|---|---|---|
| GALLAGHER, DUANE | President | 3611 TRANSMITTER ROAD, PANAMA CITY, FL 32404 |
| Name | Role | Address |
|---|---|---|
| GALLAGHER, DUANE | Secretary | 3611 TRANSMITTER ROAD, PANAMA CITY, FL 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| ARTICLES OF CORRECTION | 2003-12-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-23 |
| ANNUAL REPORT | 2007-03-26 |
| ANNUAL REPORT | 2006-02-09 |
| ANNUAL REPORT | 2005-02-07 |
| ANNUAL REPORT | 2004-03-30 |
| Articles of Correction | 2003-12-08 |
| Domestic Profit | 2003-12-02 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
