| Entity Name: | ORANGE PARK ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Jan 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P13000010008 |
| FEI/EIN Number | 462075224 |
| Address: | 2485 RIDGECREST AVE, ORANGE PARK, FL, 32073 |
| Mail Address: | 2485 RIDGECREST AVE, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538595657 | 2013-09-20 | 2013-09-20 | 2485 RIDGECREST AVE, ORANGE PARK, FL, 320656236, US | 2485 RIDGECREST AVE, ORANGE PARK, FL, 320656236, US | |||||||||||||||||||
|
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| Phone | +1 904-276-6644 |
| Fax | 9042766644 |
Authorized person
| Name | MARIE JENKINS |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9046731419 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12390 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JENKINS MARIE | Agent | 3714 CREEK HOLLOW LANE, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| JENKINS MARIE | President | 3714 CREEK HOLLOW LANE, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-26 |
| Domestic Profit | 2013-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
