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ACTIVE CARE ASSISTED LIVING FACILITY, INC.

Company Details

Entity Name: ACTIVE CARE ASSISTED LIVING FACILITY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 27 Jan 2017 (8 years ago)
Date of dissolution: 01 Jun 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Jun 2022 (3 years ago)
Document Number: P17000009756
FEI/EIN Number 81-5166869
Address: 2436 LAKE JACKSON CIRCLE, APOPKA, FL 32703
Mail Address: 2436 LAKE JACKSON CIRCLE, APOPKA, FL 32703
ZIP code: 32703
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902389927 2018-09-14 2018-09-14 2436 LAKE JACKSON CIR, APOPKA, FL, 327035846, US 2436 LAKE JACKSON CIR, APOPKA, FL, 327035846, US

Contacts

Phone +1 321-948-5569

Authorized person

Name KRYSTAL PATTERSON
Role OWNER/ADMINISTRATOR
Phone 3219485569

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
PARKER-PATTERSON, KRYSTAL M Agent 2436 LAKE JACKSON CIRCLE, APOPKA, FL 32703

Chief Executive Officer

Name Role Address
PARKER-PATTERSON, KRYSTAL M Chief Executive Officer 2436 LAKE JACKSON CIRCLE, APOPKA, FL 32703

Chief Financial Officer

Name Role Address
GAITHERREDFERN, LATAYA Chief Financial Officer 2436 LAKE JACKSON CIRCLE, APOPKA, FL 32703

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-06-01 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-06-01
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-01-23
Domestic Profit 2017-01-27

Date of last update: 18 Feb 2025

Sources: Florida Department of State