Entity Name: | EXCEPTIONAL CARE WITHIN , INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 22 Sep 2011 (13 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P11000083440 |
Address: | 3494 HEATH DRIVE, DELTONA, FL 32725 |
Mail Address: | 3494 HEATH DRIVE, DELTONA, FL 32725 |
ZIP code: | 32725 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1588961882 | 2011-02-22 | 2011-04-05 | 3494 HEATH DR, DELTONA, FL, 327253097, US | 3494 HEATH DR, DELTONA, FL, 327253097, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-520-1792 |
Fax | 3862184036 |
Authorized person
Name | MRS. PAMELA YVONNE WRIGHT |
Role | OWNER |
Phone | 4075201792 |
Taxonomy
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
State | FL |
Is Primary | Yes |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 373H00000X |
State | FL |
Issuer | MEDICAID |
Number | 372500000X |
State | FL |
Issuer | MEDICAID |
Number | 3747A0650X |
State | FL |
Issuer | MEDICAID |
Number | 385HR2065X |
State | FL |
Issuer | MEDICAID |
Number | 251S00000X |
State | FL |
Issuer | MEDICAID |
Number | 3747P1801X |
State | FL |
Issuer | MEDICAID |
Number | 376J00000X |
State | FL |
Issuer | MEDICAID |
Number | 385H00000X |
State | FL |
Issuer | MEDICAID |
Number | 372600000X |
State | FL |
Issuer | MEDICAID |
Number | 385HR2060X |
State | FL |
Issuer | MEDICAID |
Number | 385HR2055X |
State | FL |
Issuer | MEDICAID |
Number | 251C00000X |
State | FL |
Issuer | MEDICAID |
Number | 347C00000X |
State | FL |
Name | Role | Address |
---|---|---|
WRIGHT, PAMELA Y | Agent | 3494 HEATH DRIVE, DELTONA, FL 32725 |
Name | Role | Address |
---|---|---|
WRIGHT, PAMELA Y | President | 3494 HEATH DRIVE, DELTONA, FL 32725 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Name | Date |
---|---|
Domestic Profit | 2011-09-22 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State