| Entity Name: | SHALAH HOME HEALTH AGENCY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Jun 2021 (4 years ago) |
| Document Number: | P21000057740 |
| FEI/EIN Number | 87-1751829 |
| Address: | 1140 6TH STREET NW, WINTER HAVEN, FL 33881 |
| Mail Address: | 1140 6TH STREET NW, WINTER HAVEN, FL 33881 |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396411146 | 2021-08-20 | 2021-08-20 | 1140 6TH ST NW, WINTER HAVEN, FL, 338814021, US | 1140 6TH ST NW, WINTER HAVEN, FL, 338814021, US | |||||||||||||||
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| Phone | +1 863-875-5193 |
| Fax | 8632800342 |
Authorized person
| Name | ISMAEL Y LOPEZ REINOSO |
| Role | OWNER |
| Phone | 8638755193 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ REINOSO, ISMAEL Y | Agent | 2617 ROSEMONT CIR, DAVENPORT, FL 33837 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, ISMAEL Y | President | 2617 ROSEMONT CIR, DAVENPORT, FL 33837 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-01-26 |
| Domestic Profit | 2021-06-18 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
