12 KEYS REHAB INC
Ambulatory Health at Jensen Beach Blvd, Jensen Beach, FL

License number
Florida 1943AD158702
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MRS. MAUREEN E KOOL
Title: CEO
Phone: (954) 678-0078
Address
Address
618 NE Jensen Beach Blvd, Jensen Beach, FL 34957
National Provider ID: 1750530747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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12 KEYS REHAB INC

Jensen Beach, FL  -  Fort Pierce, FL

Status:
Inactive
Industry:
Individual and Family Services, Nsk, Individual/Family Services, Nonclassifiable Establishments
Inactive reason:
CORPORATE MERGER
Registration:
May 21, 2008
Inactive since:
Apr 22, 2015
Addresses:
3203 NE Maple Ave, Jensen Beach, FL 34957 (Physical)
7446 S Us Hwy 1, Fort Pierce, FL 34952
State ID:
P08000050932
Business type:
Florida Profit Corporation
Chairman, President, Treasurer, Secretary, Director, Vice Presidents:
Maureen Epres Cool, 3203 NE Male Ave, Jensen Beach, FL 34957 (Physical),Maureen Evp Cool, 3203 NE Maple Ave, Jensen Beach, FL 34957 (Physical),Maureen Esec Cool, 3203 NE Maple Ave, Jensen Beach, FL 34957 (Physical),...
Agent:
Maureen Cool,12737 S Indian Riv Dr, Port Saint Lucie, FL 34987 (Physical)
EIN:
26-2661527

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