| Entity Name: | LEXELLE ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Oct 2007 (17 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P07000116478 |
| FEI/EIN Number | 510657851 |
| Address: | 66 PATRIC DRIVE, PALM COAST, FL, 32164 |
| Mail Address: | 66 PATRIC DRIVE, PALM COAST, FL, 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881020550 | 2013-09-25 | 2013-09-25 | 66 PATRIC DRIVE, PALM COAST, FL, 32164, US | 66 PATRIC DRIVE, PALM COAST, FL, 32164, US | |||||||||||||||||||
|
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| Phone | +1 386-597-2592 |
| Fax | 3865972592 |
Authorized person
| Name | MARIBEL SUMERGIDO |
| Role | OWNER/ADMINISTRATOR |
| Phone | 3867939178 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9356 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUMERGIDO MARIBEL | Agent | 66 PATRIC DRIVE, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| SUMERGIDO MARIBEL | Administrator | 66 PATRIC DRIVE, PALM COAST, FL, 32164 |
| HARRINGTON SHIRLYN MRS. | Administrator | 81 BUTTONWORTH DRIVE, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-17 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-01-24 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-02-10 |
| ANNUAL REPORT | 2011-02-05 |
| ANNUAL REPORT | 2010-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
