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LYAM FACILITIES CORP

Company Details

Entity Name: LYAM FACILITIES CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Apr 2018 (7 years ago)
Document Number: P18000034331
FEI/EIN Number 82-5207341
Mail Address: 4801 SW 201 TERRACE, SW RANCHES, FL, 33332, US
Address: 551 E EVANSTON CIR, FORT LAUDERDALE, FL, 33312, US
ZIP code: 33312
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508521964 2021-11-01 2021-11-15 551 E EVANSTON CIR, FORT LAUDERDALE, FL, 333121930, US 551 E EVANSTON CIR, FORT LAUDERDALE, FL, 333121930, US

Contacts

Phone +1 305-333-2659

Authorized person

Name AMARILYS DE JESUS GOMEZ
Role OWNER
Phone 7862237754

Taxonomy

Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary Yes
Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary No

Agent

Name Role Address
Cruz-Gomez Mario P Agent 4801 SW 201 TERRACE, SW RANCHES, FL, 33332

Owne

Name Role Address
CRUZ GOMEZ MARIO P Owne 530 NW 207 TERRACE, P PINES, FL, 33029
Quirantes Laura Owne 4801 SW 201 TERRACE, SW RANCHES, FL, 33332

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000111728 BRIGHT LIFE ACTIVE 2023-09-12 2028-12-31 No data 4801 SW 201 TERRACE, SW RANCHES, FL, 33332

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-02-10 Cruz-Gomez, Mario P No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-07 551 E EVANSTON CIR, FORT LAUDERDALE, FL 33312 No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-05
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-04-26
Domestic Profit 2018-04-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State