| Entity Name: | EXULTATION COMMUNITY RESOURCE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Aug 2019 (5 years ago) |
| Document Number: | P19000066568 |
| FEI/EIN Number | 84-2459844 |
| Address: | 8250 NW 94th Avenue, Tamarac, FL 33321 |
| Mail Address: | 158 Kenmore Place, Macon, GA 31204 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508415332 | 2019-09-04 | 2019-09-04 | 517 NW 16TH AVE, FORT LAUDERDALE, FL, 333118851, US | 4000 N STATE ROAD 7 STE 401-2, LAUDERDALE LAKES, FL, 333194804, US | |||||||||||||
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| Phone | +1 954-478-5835 |
Authorized person
| Name | PHYLLIS MATHIS |
| Role | CEO |
| Phone | 9544785835 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATHIS, PHYLLIS R | Agent | 517 NW 16TH AVENUE, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| MATHIS, PHYLLIS R | President | 158 Kenmore Place, Macon, GA 31204 |
| Name | Role | Address |
|---|---|---|
| ROLLE, SIMONE | Vice President | 604 NW 2nd Avenue, Deerfield Beach, FL 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 8250 NW 94th Avenue, Tamarac, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 8250 NW 94th Avenue, Tamarac, FL 33321 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-07 |
| Domestic Profit | 2019-08-21 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
