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J & K ASSISTED LIVING II, INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ELIE, KETLIE Agent 256 BARBAROSSA RD NW, PALM BAY, FL 32907

President

Name Role Address
ELIE, KETLIE President 256 BARBAROSSA RD NW, PALM BAY, FL 32907

Documents

Name Date
Domestic Profit 2024-08-12

Date of last update: 07 Jan 2025

Sources: Florida Department of State