IM SULZBACHER CENTER FOR THE HOMELESS INC
Ambulatory Health at 6 Ave, Jacksonville, FL

License number
Florida 686032002
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: MRS. KATHLEEN PATNEAU
Title: HEALTH SERVICES ADMINISTRATOR
Phone: (904) 394-8056
Address
Address
850 6Th Ave S STE 500, Jacksonville, FL 32250
National Provider ID: 1326312315
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IM SULZBACHER CENTER FOR THE HOMELESS INC at bizstanding.com

I.M. SULZBACHER CENTER FOR THE HOMELESS, INC

611 E Adams St, Jacksonville, FL 32202

Status:
Inactive
Doing business as:
I.M. Sulzbacher Center for The Homeless In
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Mar 9, 1994
Inactive since:
Oct 14, 2005
State ID:
N94000001167
Business type:
Florida Not For Profit Corporation
Treasurers:
Cindy Funkhouser, 1352 Plantation Oaks Dr, Jacksonville Beach, FL 32250 (Physical),Dan Murphy, 601 Riverside Ave, Jacksonville, FL 32204 (Physical),Lanny Felder (Treasurer), 11358 Tacito Crk Dr S, Jacksonville, FL 32223 (Physical),...
Agent:
Barber, Andy,611 E Adams St, Jacksonville, FL 32202 (Physical)
EIN:
593229898

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