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COOK COMMUNITY HEALTH AGENCY INC. - Florida Company Profile

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Company Details

Entity Name: COOK COMMUNITY HEALTH AGENCY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jan 2024 (2 years ago)
Document Number: P24000001009
Address: 528 DIXIE HIGHWAY, HOLLYWOOD, FL, 33020
Mail Address: 528 DIXIE HIGHWAY, HOLLYWOOD, FL, 33020
ZIP code: 33020
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARTER GLENN MII President 528 DIXIE HIGHWAY, HOLLYWOOD, FL, FL, 33020
MURPHY HELEN Manager 528 DIXIE HIGHWAY, HOLLYWOOD, FL, 33020
CARTER GLENN MII Agent 528 DIXIE HIGHWAY, HOLLYWOOD,, FL, 33020

National Provider Identifier

NPI Number:
1891565149
Certification Date:
2024-01-08

Authorized Person:

Name:
GLENN MARK CARTER II II
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Documents

Name Date
Domestic Profit 2024-01-03

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Date of last update: 03 Jul 2025

Sources: Florida Department of State