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PEABODY ALF INC

Company Details

Entity Name: PEABODY ALF INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 19 Jun 2015 (10 years ago)
Document Number: P15000053988
FEI/EIN Number 47-4364354
Address: 1309 PEABODY DR E, JACKSONVILLE, FL 32221
Mail Address: 1309 PEABODY DR E, JACKSONVILLE, FL 32221
ZIP code: 32221
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194174912 2016-06-13 2023-08-02 1309 PEABODY DR E, JACKSONVILLE, FL, 322211291, US 1309 PEABODY DR E, JACKSONVILLE, FL, 322211291, US

Contacts

Phone +1 904-695-2967

Authorized person

Name ANTONIO MAULION DOCTOR SR.
Role OWNER/ADMINISTRATOR
Phone 9046952967

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL12841
State FL
Is Primary Yes

Agent

Name Role Address
DOCTOR, LUZVIMINDA Agent 1309 PEABODY DR E, JACKSONVILLE, FL 32221

President

Name Role Address
DOCTOR, LUZVIMINDA President 1309 PEABODY DR E, JACKSONVILLE, FL 32221

Vice President

Name Role Address
DOCTOR, ANTONIO Vice President 1309 PEABODY DR E, JACKSONVILLE, FL 32221

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-20
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-05-01
Domestic Profit 2015-06-19

Date of last update: 20 Jan 2025

Sources: Florida Department of State