MIZADA INC
Nursing at Manak St, Fort Pierce, FL

License number
Florida AH12155
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MS. MICHELLE LIGHTBOURN
Title: PRESIDENT
Phone: (772) 336-5884
Address
Address
3726 SW Manak St, Fort Pierce, FL 34953
National Provider ID: 1417206400
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MIZADA INC at bizstanding.com

MIZADA, INC

3726 SW Manak St, Port Saint Lucie, FL 34953

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 15, 2011
Inactive since:
Sep 26, 2014
State ID:
P11000099111
Business type:
Florida Profit Corporation
President, Director, President, Director:
Michelle Lightbourn President, Director, President, Director, inactive, 3726 SW Manak St, Port Saint Lucie, FL 34953 (Physical)
Agent:
Laverne Williams,3300 SW Myers Ct, Port Saint Lucie, FL 34953 (Physical)
EIN:
20-5792366

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