| Entity Name: | SAFE HAVEN ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jun 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000055122 |
| Address: | 2505 EAST ORANGE STREET, EUSTIS, FL, 32729, US |
| Mail Address: | 2505 EAST ORANGE STREET, EUSTIS, FL, 32729, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225412604 | 2015-07-15 | 2015-07-15 | 2505 E ORANGE AVE, EUSTIS, FL, 327264460, US | 2505 EAST ORANGE AVE., EUSTIS, FL, 34785, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 352-460-3529 |
| Fax | 3527481600 |
Authorized person
| Name | LULA M. FRAZIER |
| Role | OWNER |
| Phone | 3524603529 |
Taxonomy
| Taxonomy Code | 385H00000X - Respite Care |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARGROVE LEYTONYA | Agent | 35525 CR 473, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| FRAZIER EUGENE | Vice President | 2505 EAST ORANGE STREET, EUSTIS, FL, 32729 |
| Name | Role | Address |
|---|---|---|
| BARKLEY DENICE | Secretary | 2505 EAST ORANGE STREET, EUDTIS, FL, 32979 |
| Name | Role | Address |
|---|---|---|
| FRAZIER LULA | President | 2505 EAST ORANGE STREET, EUSTIS, FL, 32729 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-06-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
