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LONG LIFE BEHAVIORAL SERVICES INC.

Company Details

Entity Name: LONG LIFE BEHAVIORAL SERVICES INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Jan 2018 (7 years ago)
Date of dissolution: 23 Apr 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Apr 2019 (6 years ago)
Document Number: P18000009561
Address: 9050 PINE BLVD, SUITE 355, PEMBROKE PINES, FL, 33024, US
Mail Address: 9050 PINE BLVD, SUITE 355, PEMBROKE PINES, FL, 33024, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275036550 2018-03-13 2018-03-13 8897 FONTAINEBLEAU BLVD APT 202, MIAMI, FL, 331724430, US 9050 PINES BLVD STE 355, PEMBROKE PINES, FL, 330246422, US

Contacts

Phone +1 786-660-0886

Authorized person

Name MISS ILEANA ALVAREZ VELAZQUEZ
Role PRESIDENT
Phone 7866600886

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
ALVAREZ VELAZQUEZ ILEANA Agent 9050 PINE BLVD, PEMBROKE PINES, FL, 33024

President

Name Role Address
ALVAREZ VELAZQUEZ ILEANA President 8897 FONTAINEBLEAU BLVD APT 202, MIAMI, FL, 33172

Vice President

Name Role Address
PERAZA YOHAN Vice President 3940 SW 138 AVE., MIAMI, FL, 33175

Secretary

Name Role Address
ROCHE ADRIAN Secretary 4071 NW 65 AVE. APT 2, VIRGINIA GARDENS, FL, 33166

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-04-23 No data No data
AMENDMENT 2018-02-26 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-04-23
Amendment 2018-02-26
Domestic Profit 2018-01-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State