| Entity Name: | MIDDLEBURG ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Nov 2006 (18 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P06000138253 |
| FEI/EIN Number | 223954142 |
| Address: | 4192 CLOVE ST., MIDDLEBURG, FL, 32068 |
| Mail Address: | 4192 CLOVE ST., MIDDLEBURG, FL, 32068 |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881882918 | 2007-10-15 | 2007-10-15 | 4192 CLOVE ST, MIDDLEBURG, FL, 320686100, US | 4192 CLOVE ST, MIDDLEBURG, FL, 320686100, US | |||||||||||||||||
|
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| Phone | +1 904-673-1419 |
Authorized person
| Name | MS. MARIE JENKINS |
| Role | ADMINISTRATOR |
| Phone | 9042911632 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11083 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JENKINS MARIE | Agent | 4192 CLOVE ST., MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| JENKINS MARIE | President | 4192 CLOVE ST., MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| Jenkins Jeffrey A | Secretary | 4192 Clove St, Middleburg, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-30 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
