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MAGNOLIA HOME INC

Company Details

Entity Name: MAGNOLIA HOME INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Apr 2018 (7 years ago)
Document Number: P18000039497
FEI/EIN Number 83-0564441
Address: 1483 Jasper Ave NW, Palm Bay, FL, 32907, US
Mail Address: 1483 Jasper Ave NW, Palm Bay, FL, 32907, US
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225528094 2018-05-16 2018-05-16 918 SW IDOL AVE, PORT SAINT LUCIE, FL, 349536728, US 918 SW IDOL AVE, PORT SAINT LUCIE, FL, 349536728, US

Contacts

Phone +1 772-626-1413

Authorized person

Name PATRICIA CHRISTIAN
Role CEO
Phone 7726261413

Taxonomy

Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary Yes

Agent

Name Role Address
CHRISTIAN PATRICIA Agent 1483 JASPER AVE NW, Palm Bay, FL, 32907

Chief Executive Officer

Name Role Address
CHRISTIAN PATRICIA Chief Executive Officer 1483 Jasper Ave NW, Palm Bay, FL, 32907

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-05 1483 Jasper Ave NW, Palm Bay, FL 32907 No data
CHANGE OF MAILING ADDRESS 2024-02-05 1483 Jasper Ave NW, Palm Bay, FL 32907 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-05 1483 JASPER AVE NW, Palm Bay, FL 32907 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-03-27
Domestic Profit 2018-04-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State