| Entity Name: | WILLOW PLACE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Aug 2011 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P11000073108 |
| FEI/EIN Number | 453014265 |
| Address: | 400 EXECUTIVE CENTER DR, SUITE 203, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 400 EXECUTIVE CENTER DRIVE, SUITE 203, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639440597 | 2012-01-24 | 2013-12-10 | 400 EXECUTIVE CENTER, SUITE 203, WEST PALM BEACH, FL, 334012922, US | 400 EXECUTIVE CENTER, SUITE 203, WEST PALM BEACH, FL, 334012922, US | |||||||||||||||||||||||||
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| Phone | +1 561-623-0142 |
| Fax | 5618280390 |
Authorized person
| Name | DIXIE BROWN |
| Role | EXECUTIVE DIRECTOR |
| Phone | 5617063185 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1550AD426501 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATTEN LOUIS | Agent | 7556 LAKE WORTH RD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| WARD FRANCIS | President | 400 EXECUTIVE CENTER DR, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| WARD FRANCIS | Vice President | 400 EXECUTIVE CENTER DR, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| WARD FRANCIS | Secretary | 400 EXECUTIVE CENTER DRIVE, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| WARD FRANCIS | Treasurer | 400 EXECUTIVE CENTER DRIVE, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-11 | 400 EXECUTIVE CENTER DR, SUITE 203, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-11 | 400 EXECUTIVE CENTER DR, SUITE 203, WEST PALM BEACH, FL 33401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-11 | 7556 LAKE WORTH RD, SUITE 105, LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-06-11 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-04-26 |
| Domestic Profit | 2011-08-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
