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AMBER PLACE INC

Company Details

Entity Name: AMBER PLACE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Oct 2007 (17 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: P07000112915
FEI/EIN Number 711042348
Address: 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434, US
Mail Address: 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434, US
ZIP code: 34434
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558664078 2010-12-06 2010-12-06 2365 W AMBER PL, CITRUS SPRINGS, FL, 344344006, US 2365 W AMBER PL, CITRUS SPRINGS, FL, 344344006, US

Contacts

Phone +1 352-489-6444
Fax 3524896444

Authorized person

Name MRS. MARCIA ANGELLA WELLINGTON
Role ADMINISTRATOR
Phone 3524896444

Taxonomy

Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number AL11222
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 692012896
State FL

Agent

Name Role Address
WELLINGTON MARCIA A Agent 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434

Director

Name Role Address
WELLINGTON MARCIA A Director 2365 W Amber Pl, CITRUS SPRINGS, FL, 34434

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-02-20
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-26
ANNUAL REPORT 2015-02-24
ANNUAL REPORT 2014-03-15
ANNUAL REPORT 2013-02-07
ANNUAL REPORT 2012-04-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State