ST. THOMAS MANOR, INC.
Nursing at 40 Ave, Fort Lauderdale, FL

License number
Florida AL1063
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. MATHEW JACOB
Title: PRESIDENT/OWNER
Phone: (954) 583-3321
Address
Address
1110 SW 40Th Ave, Fort Lauderdale, FL 33317
National Provider ID: 1023269875
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ST. THOMAS MANOR, INC. at bizstanding.com

ST. THOMAS MANOR, INC

1110 SW 40 Ave, Fort Lauderdale, FL 33317

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 20, 1996
Inactive since:
Sep 26, 2014
State ID:
P96000096000
Business type:
Florida Profit Corporation
Directors:
Mathew Jacob Director, inactive, 1110 SW 40 Ave, Fort Lauderdale, FL 33317 (Physical),Marykutty Jacob Director, inactive, 1110 SW 40 Ave, Fort Lauderdale, FL 33317 (Physical)
Agent:
Jacob, Mathew,1110 SW 40 Ave, Fort Lauderdale, FL 33317 (Physical)
EIN:
65-0710130

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