STILLWATER ALF INC.
Nursing at Quentin Ave, Melbourne, FL

License number
Florida AL10861
Category
Nursing
Type
Assisted Living Facility
Owner
Name: RUDOLPH L LEWIS SR.
Title: ADMINISTRATOR
Phone: (321) 684-3691
Address
Address
2881 Quentin Ave SE, Melbourne, FL 32909
National Provider ID: 1437492519
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STILLWATER ALF INC. at bizstanding.com

STILLWATER A.L.F., INC

2881 Quentin Ave SE, Palm Bay, FL 32909

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
May 30, 2006
Inactive since:
Jul 18, 2014
State ID:
P06000074194
Business type:
Florida Profit Corporation
Directors:
Rudolph L Lewis (Director), 2881 Quentin Ave SE, Palm Bay, FL 32909 (Physical),Charmaine R Lewis (Director), 2881 Quentin Ave SE, Palm Bay, FL 32909 (Physical)
Agent:
Rudolph Lewis,351 Allison Dr, Palm Bay, FL 32908 (Physical)
EIN:
56-2588785

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