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A & M ASSISTED LIVING FACILITY, INC.

Company Details

Entity Name: A & M ASSISTED LIVING FACILITY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Sep 2007 (17 years ago)
Document Number: P07000098629
FEI/EIN Number 260866745
Address: 1581 ZAFFER STREET NW, PALM BAY, FL, 32907
Mail Address: 1581 ZAFFER STREET NW, PALM BAY, FL, 32907
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316289432 2013-03-27 2013-03-27 1581 ZAFFER ST NW, PALM BAY, FL, 329078624, US 1581 ZAFFER ST, PALM BAY, FL, 32907, US

Contacts

Phone +1 321-914-4125

Authorized person

Name MRS. MARLENE GILLIARD
Role ADMINISTRATOR
Phone 3219144125

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL11235
State FL
Is Primary Yes

Agent

Name Role Address
GILLIARD MARLENE Agent 1581 ZAFFER STREET NW, PALM BAY, FL, 32907

President

Name Role Address
GILLIARD MARLENE President 1581 ZAFFER STREET NW, PALM BAY, FL, 32907

Vice President

Name Role Address
Gilliard Anthony G Vice President 1581 Zaffer St, Palm Bay, FL, 32907

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000025529 A & M ASSISTED LIVING FACILITY II ACTIVE 2021-02-22 2026-12-31 No data 2180 STRATFORD POINT DRIVE, WEST MELBOURNE, FL, 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-05-01 1581 ZAFFER STREET NW, PALM BAY, FL 32907 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-07-08
ANNUAL REPORT 2015-05-01

Date of last update: 03 Feb 2025

Sources: Florida Department of State