| Entity Name: | ARLINGTON HAVEN INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Feb 1997 (28 years ago) |
| Date of dissolution: | 16 Oct 1998 (26 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Oct 1998 (26 years ago) |
| Document Number: | P97000012990 |
| Address: | 6320 ARLINGTON RD, JACKSONVILLE, FL 32211 |
| Mail Address: | 6320 ARLINGTON RD, JACKSONVILLE, FL 32211 |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275941833 | 2014-07-28 | 2014-07-28 | 6320 ARLINGTON RD, JACKSONVILLE, FL, 322115430, US | 6320 ARLINGTON RD, JACKSONVILLE, FL, 322115430, US | |||||||||||||||||||||||||
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| Phone | +1 904-743-9069 |
| Fax | 9047433584 |
Authorized person
| Name | IVAN MALDONADO |
| Role | ADMINISTRATOR |
| Phone | 9047439069 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL8958 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 141157800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AKEL, DANIEL D | Agent | 2301 INDEPENDENT SQUARE, ONE INDEPENDENT DRIVE, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| MALDONADO, IVAN | Director | 6320 ARLINGTON RD, JACKSONVILLE, FL 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit Articles | 1997-02-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
