Entity Name: | KLINE DEVELOPMENTAL SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 14 Mar 2006 (19 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 06 Aug 2007 (18 years ago) |
Document Number: | P06000037930 |
FEI/EIN Number | 204555969 |
Address: | 2986 MEREDITH DRIVE, PENSACOLA, FL, 32504, US |
Mail Address: | 2986 MEREDITH DRIVE, PENSACOLA, FL, 32504, US |
ZIP code: | 32504 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497855100 | 2006-09-22 | 2008-04-27 | 2986 MEREDITH DR, PENSACOLA, FL, 325044752, US | 2986 MEREDITH DR, PENSACOLA, FL, 325044752, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 850-572-5108 |
Fax | 8504743940 |
Authorized person
Name | MRS. DEBRA KLINE |
Role | OWNER/DIRECTOR |
Phone | 8505725108 |
Taxonomy
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
License Number | 688059296 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
License Number | 688059298 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 688059298 |
State | FL |
Issuer | MEDICAID |
Number | 688059296 |
State | FL |
Name | Role | Address |
---|---|---|
KLINE DEBRA Preside | Agent | 2986 MEREDITH DRIVE, PENSACOLA, FL, 32504 |
Name | Role | Address |
---|---|---|
KLINE DEBRA Preside | President | 2986 MEREDITH DRIVE, PENSACOLA, FL, 32504 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2013-03-07 | KLINE, DEBRA, President | No data |
AMENDMENT | 2007-08-06 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-02-14 | 2986 MEREDITH DRIVE, PENSACOLA, FL 32504 | No data |
CHANGE OF MAILING ADDRESS | 2007-02-14 | 2986 MEREDITH DRIVE, PENSACOLA, FL 32504 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-01-18 |
ANNUAL REPORT | 2022-02-04 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-02-06 |
ANNUAL REPORT | 2019-02-09 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-01-14 |
ANNUAL REPORT | 2016-03-03 |
ANNUAL REPORT | 2015-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State