Entity Name: | J & K ASSISTED LIVING II, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 12 Aug 2024 (5 months ago) |
Document Number: | P24000052495 |
Address: | 256 BARBAROSSA RD NW, PALM BAY, FL 32907 |
Mail Address: | 256 BARBAROSSA RD NW, PALM BAY, FL 32907 |
ZIP code: | 32907 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609698315 | 2024-10-25 | 2024-10-25 | 256 BARBAROSSA RD NW, PALM BAY, FL, 329071809, US | 256 BARBAROSSA RD NW, PALM BAY, FL, 329071809, US | |||||||||||||||
|
Phone | +1 321-704-0053 |
Fax | 3213454297 |
Authorized person
Name | KETLIE ELIE |
Role | ADMINISTRATOR |
Phone | 3217040053 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ELIE, KETLIE | Agent | 256 BARBAROSSA RD NW, PALM BAY, FL 32907 |
Name | Role | Address |
---|---|---|
ELIE, KETLIE | President | 256 BARBAROSSA RD NW, PALM BAY, FL 32907 |
Name | Date |
---|---|
Domestic Profit | 2024-08-12 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State