| Entity Name: | THE MLO PALACE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2020 (5 years ago) |
| Document Number: | P20000028731 |
| FEI/EIN Number | 85-1570067 |
| Address: | 952 SW 136 PL, MIAMI, FL, 33184, US |
| Mail Address: | 952 SW 136 PL, MIAMI, FL, 33184, US |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760070254 | 2021-01-09 | 2021-01-09 | 952 SW 136TH PL, MIAMI, FL, 331843305, US | 952 SW 136TH PL, MIAMI, FL, 331843305, US | |||||||||||||||||||
|
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| Phone | +1 786-337-3708 |
Authorized person
| Name | MAILYN LOPEZ OLIVERA |
| Role | OWNER |
| Phone | 7863373708 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1679087910 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ LUIS MANUEL | Agent | 13985 SW 22 ST, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| LOPEZ OLIVERA MAILYN | President | 13985 SW 22 ST, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| SUAREZ LISSET C | Vice President | 952 SW 136 PL, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 952 SW 136 PL, MIAMI, FL 33184 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-27 | 952 SW 136 PL, MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-15 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-08 |
| Domestic Profit | 2020-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
