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 |
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 | |||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GILLIARD MARLENE | Agent | 1581 ZAFFER STREET NW, PALM BAY, FL, 32907 |
Name | Role | Address |
---|---|---|
GILLIARD MARLENE | President | 1581 ZAFFER STREET NW, PALM BAY, FL, 32907 |
Name | Role | Address |
---|---|---|
Gilliard Anthony G | Vice President | 1581 Zaffer St, Palm Bay, FL, 32907 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2015-05-01 | 1581 ZAFFER STREET NW, PALM BAY, FL 32907 | No data |
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