Detail by Entity Name

Foreign Limited Liability Company

CRE-PROVENDER KISSIMMEE, LLC

Filing Information
M23000000824 92-1774983 01/20/2023 DE ACTIVE
Principal Address
1600 NEWPORT CENTER DRIVE
SUITE 140
NEWPORT BEACH, CA 92660

Changed: 04/17/2024
Mailing Address
1600 NEWPORT CENTER DRIVE
SUITE 140
NEWPORT BEACH, CA 92660

Changed: 04/17/2024
Registered Agent Name & Address C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Authorized Person(s) Detail Name & Address

Title Authorized Member

CRE-PROVENDER HOLDCO GUARANTOR, LLC
1600 NEWPORT CENTER DRIVE
SUITE 140
NEWPORT BEACH, CA 92660

Annual Reports
Report YearFiled Date
2024 04/17/2024