PROVIDENT CARE RESIDENTIAL HOME LLC

Florida Limited Liability Company

Filing Information

• Document Number: L18000156184
• FEI/EIN Number: 83-1168822
• Date Filed: 06/26/2018
• Effective Date: 07/01/2018
• State: FL
• Status: ACTIVE

Principal Address

4170 MUTTER ROAD
SAINT CLOUD, FL 34769

Mailing Address

4170 MUTTER ROAD
SAINT CLOUD, FL 34769

Registered Agent Name & Address

ELLIS, Nadine

4170 MUTTER ROAD
ST. CLOUD, FL 34769

Name Changed: 05/05/2022

Address Changed: 04/23/2019

Authorized Person(s) Detail

Name & Address

Title MGR

Ellis, Nadine

4170 Mutter Rd
St. Cloud, FL 34769

Annual Reports

Report Year	Filed Date
2022	05/05/2022
2023	04/04/2023
2024	06/14/2024

Document Images

06/14/2024 -- ANNUAL REPORT

04/04/2023 -- ANNUAL REPORT

05/05/2022 -- ANNUAL REPORT

04/07/2021 -- ANNUAL REPORT

03/23/2020 -- ANNUAL REPORT

04/23/2019 -- ANNUAL REPORT

06/26/2018 -- Florida Limited Liability