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MANCALA HOLDINGS, LLC

Company Details

Entity Name: MANCALA HOLDINGS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Dec 2020 (4 years ago)
Document Number: P21000000232
FEI/EIN Number 86-2224112
Address: 2903 WEST NEW HAVEN AVE, 404, WEST MELBOURNE, FL 32904
Mail Address: 2903 WEST NEW HAVEN AVE, 404, WEST MELBOURNE, FL 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992460208 2021-11-02 2021-11-02 2903 W NEW HAVEN AVE STE 404, WEST MELBOURNE, FL, 329043661, US 95 BULLDOG BLVD STE 205, MELBOURNE, FL, 329013188, US

Contacts

Phone +1 321-806-9007
Fax 3218210847

Authorized person

Name AUDLEY SAVAGE
Role COO
Phone 3218069007

Taxonomy

Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary Yes

Agent

Name Role Address
LAWRENCE, VAUNA R Agent 2903 WEST NEW HAVEN AVE., SUITE 404, WEST MELBOURNE, FL 32904

President

Name Role Address
LAWRENCE, VAUNA R President 2903 WEST NEW HAVEN AVENUE, SUITE 404, WEST MELBOURNE, FL 32904

Vice President

Name Role Address
SAVAGE, AUDLEY W Vice President 2903 WEST NEW HAVEN AVENUE. SUITE 404, WEST MELBOURNE, FL 32904

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000026029 MANCALA NEMT ACTIVE 2021-02-23 2026-12-31 No data 2903 WEST NEW HAVEN AVENUE, SUITE 404, WEST MELBOURNE, FL, 32904-3661

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-04-30
Domestic Profit 2020-12-21

Date of last update: 14 Feb 2025

Sources: Florida Department of State