EAGLE LAKE FOUNDATION INC
Nursing at 66 St, Saint Petersburg, FL

License number
Florida SNF15650961
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: LYNDA HEBBELN
Title: VP OF ACCT & FINANCE
Phone: (727) 723-3000
Address
Address 2
1100 66Th St N, Saint Petersburg, FL 33710
24641 Us Highway 19 N, Clearwater, FL 33763
National Provider ID: 1225046584
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAGLE LAKE FOUNDATION INC at bizstanding.com

EAGLE LAKE FOUNDATION, INC

Manchester, CT  -  Clearwater, FL  -  Safety Harbor, FL  -  Dunedin, FL

Status:
Inactive
Industry:
Civic/Social Association
Inactive reason:
AMENDMENT
Registration:
May 10, 2005
Inactive since:
Jan 9, 2015
Addresses:
419 Ctr St, Manchester, CT 06040 (Physical)
24641 Us Hwy 19 N, Clearwater, FL 33763 (Mailing)
310 10 Ave N, Safety Harbor, FL 34695
1022 Main St, Dunedin, FL 34698
State ID:
N05000004803
Business type:
Florida Not For Profit Corporation
Directors:
Eugene Rensch (Secretary), 24641 Us Hwy 19 N, Clearwater, FL 33763 (Physical),Fred Frank (President), 24641 Us Hwy 19 N, Clearwater, FL 33763 (Physical),Antoine Cash (Director), 24641 Us Hwy 19 N, Clearwater, FL 33763 (Physical),...
Agent:
C T Corporation System,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
EIN:
20-2813348

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