Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PROVIDENCE SNF OPERATOR LLC

Filing Information
L17000124130 82-1823231 06/06/2017 06/06/2017 FL ACTIVE
Principal Address
15310 AMBERLY DRIVE
SUITE 102
TAMPA, FL 33647

Changed: 03/23/2021
Mailing Address
15310 AMBERLY DRIVE
SUITE 102
TAMPA, FL 33647

Changed: 03/23/2021
Registered Agent Name & Address CORPORATE CREATIONS NETWORK INC.
801 US Highway 1
NORTH PALM BEACH, FL 33408

Address Changed: 03/02/2020
Authorized Person(s) Detail Name & Address

Title MGR

PWW HEALTHCARE LLC
15310 AMBERLY DRIVE - SUITE 102
TAMPA, FL 33647

Annual Reports
Report YearFiled Date
2022 04/26/2022
2023 03/07/2023
2024 04/08/2024