AVA CARES, LLC
Nursing at Hickory Lake Dr, Brandon, FL

License number
Florida AL-12249
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. ROGER T DEROSA
Title: ADMINISTRATOR
Phone: (813) 300-6177
Address
Address
515 Hickory Lake Dr, Brandon, FL 33511
National Provider ID: 1457781965
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AVA CARES, LLC at bizstanding.com

AVA CARES, LLC

Brandon, FL  -  Riverview, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Inactive reason:
REINSTATEMENT
Registration:
Aug 4, 2011
Inactive since:
Oct 9, 2012
Addresses:
515 Hickory Lk Dr, Brandon, FL 33511 (Physical)
PO Box 845, Riverview, FL 33568
State ID:
L11000089533
Business type:
Florida Limited Liability Company
Managing Members:
Roger T Derosa (Managing Member), 515 Hickory Lk Dr, Brandon, FL 33511 (Physical),Evangeline A Derosa (Managing Member), 515 Hickory Lk Dr, Brandon, FL 33511 (Physical)
Agent:
Roger Derosa,515 Hickory Lk Dr, Brandon, FL 33511 (Physical)
EIN:
453000955

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