| Entity Name: | MAGNOLIA MANOR OF PALM COAST INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Apr 1999 (26 years ago) |
| Document Number: | P99000037373 |
| FEI/EIN Number | 311668641 |
| Address: | 35 BURNING SANDS LANE, PALM COAST, FL, 32137 |
| Mail Address: | 1531 SILVER STREET, WICKLIFFE, OH, 44092 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447687637 | 2013-10-02 | 2013-10-02 | 35 BURNING SANDS LN, PALM COAST, FL, 321378808, US | 35 BURNING SANDS LN, PALM COAST, FL, 321378808, US | |||||||||||||||||||
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| Phone | +1 386-447-8562 |
| Fax | 3864478563 |
Authorized person
| Name | DR. JUANITA MARZAN CASTANEDA |
| Role | PART OWNER |
| Phone | 2162146176 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9708 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTANEDA JUANITA M | Agent | 34 Burning Sands Lane, Palm Coast, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| ELIAZO MARINA T | FINA | Burning Sands Lane, Palm Coast, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 34 Burning Sands Lane, Palm Coast, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2005-07-27 | 35 BURNING SANDS LANE, PALM COAST, FL 32137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-18 | 35 BURNING SANDS LANE, PALM COAST, FL 32137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
