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PATH OF LIFE OF LAKE WORTH INC

Company Details

Entity Name: PATH OF LIFE OF LAKE WORTH INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 17 Dec 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Jan 2018 (7 years ago)
Document Number: P14000100461
FEI/EIN Number 47-2578592
Address: 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467
Mail Address: 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255873097 2016-11-10 2016-11-10 87 W RUBBER TREE DR, LAKE WORTH, FL, 334674840, US 87 W RUBBER TREE DR, LAKE WORTH, FL, 334674840, US

Contacts

Phone +1 561-968-8344

Authorized person

Name JESSICA HERNANDEZ
Role ADMINISTRATOR
Phone 3052822620

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL12929
State FL
Is Primary Yes

Agent

Name Role Address
HERNANDEZ, JESSICA Agent 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467

President

Name Role Address
HERNANDEZ, JESSICA President 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-30 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467 No data
REINSTATEMENT 2018-01-30 No data No data
CHANGE OF MAILING ADDRESS 2018-01-30 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467 No data
REGISTERED AGENT NAME CHANGED 2018-01-30 HERNANDEZ, JESSICA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
AMENDMENT 2015-09-01 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-07-14 87 W. RUBBER TREE DRIVE, LAKE WORTH, FL 33467 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-03-18
REINSTATEMENT 2018-01-30
ANNUAL REPORT 2016-03-18
Amendment 2015-09-01
ANNUAL REPORT 2015-03-28

Date of last update: 21 Jan 2025

Sources: Florida Department of State