LA AMISTAD RESIDENTIAL TREATMENT CENTER , LLC
Residential Treatment Facilities at Park Ave, Maitland, FL

License number
Florida 4381
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
Owner
Name: STEVE FILTON
Title: CFO SR VP
Phone: (610) 768-3300
Address
Address
1650 N Park Ave, Maitland, FL 32751
National Provider ID: 1811964737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LA AMISTAD RESIDENTIAL TREATMENT CENTER, LLC

Maitland, FL  -  Norristown, PA

Status:
Inactive
Doing business as:
LA AMISTAD RESIDENTIAL TREATMENT CENTER, INC
Inactive reason:
Conversion
Registration:
Dec 22, 2008
Inactive since:
Dec 22, 2008
Addresses:
1650 Park Ave N, Maitland, FL 32751 (Physical)
367 S Gulph Rd, King of Prussia, PA 19406 (Mailing)
201 Alpine Dr 1200 South Pne Is Rd, Maitland, FL 32751 (Physical)
PO Box 61558, King of Prussia, PA 19406 (Mailing)
State ID:
L08000115893
Business type:
Florida Limited Liability Company
Secretarys:
Universal Health Services, Inc (Managing Member), 367 S Gulph Rd, King of Prussia, PA 19406 (Physical),Debra Osteen, 367 S Gulph Rd, King of Prussia, PA (Physical),Alan B. Miller President, Director, inactive, 367 S Gulph Rd, King of Prussia, PA (Physical),...
Agent:
C T Corporation System,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
EIN:
581791069

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