| Entity Name: | LIFE SKILL REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Mar 2018 (7 years ago) |
| Date of dissolution: | 16 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jan 2020 (5 years ago) |
| Document Number: | P18000024161 |
| FEI/EIN Number | 82-5102056 |
| Address: | 636 N LAKE BLVD., TARPON SPRINGS, FL, 34689, US |
| Mail Address: | 636 N LAKE BLVD., TARPON SPRINGS, FL, 34689, US |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356814024 | 2019-01-05 | 2019-01-13 | 636 N LAKE BLVD, TARPON SPRINGS, FL, 346895247, US | 636 N LAKE BLVD, TARPON SPRINGS, FL, 346895247, US | |||||||||||||||||||||||||||||
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| Phone | +1 618-599-0743 |
Authorized person
| Name | KYNDA RAY |
| Role | PRESIDENT/OWNER |
| Phone | 6185990743 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1851439467 |
| Name | Role | Address |
|---|---|---|
| RAY KYNDA L | Agent | 636 N LAKE BLVD., TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| RAY KYNDA L | President | 636 N LAKE BLVD., TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-16 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-16 |
| ANNUAL REPORT | 2019-01-05 |
| Domestic Profit | 2018-03-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
