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ADULT FAMILY CARE HOME DIRECTORY Active Facilities = 387 Total Slots = 1,754 Date: 9/26/2016 Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imr Catalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT Page 1 FIELD OFFICE CODE: 01 Slots = 18 Facilities = 4 COUNTY: ESCAMBIA Facilities = 4 Slots = 18 License #6905549 CROSBY, SANDRA TOLER 683 BULLARD AVE PENSACOLA, FL 32514-3248 Owner: CROSBY, SANDRA TOLER Phone: (850) 542-4236 Nbr Slots: 5 Lic Type: STANDARD Expiry: 8/18/2016 License #6906454 ESTARES, JOHN V 3075 PARTRIDGE DR PENSACOLA, FL 32526 Owner: ESTARES, JOHN V Phone: (850) 384-7656 Nbr Slots: 5 Lic Type: STANDARD Expiry: 12/6/2016 License #82 FOWLER, GERTRUDE 100 PINEDA AVE PENSACOLA, FL 32503-3639 Owner: FOWLER, GERTRUDE Phone: (850) 432-5044 Nbr Slots: 4 Lic Type: STANDARD Expiry: 8/7/2016 License #6905237 WESLEY, LENORA DIANN 7840 HERRINGTON DR PENSACOLA, FL 32534-4521 Owner: WESLEY, LENORA D Phone: (850) 477-0914 Nbr Slots: 4 Lic Type: STANDARD Expiry: 5/5/2017 FIELD OFFICE CODE: 02 Slots = 23 Facilities = 5 COUNTY: GADSDEN Facilities = 2 Slots = 10 License #6905367 RICHARDSON, CANDIE F. 1748 IRON BRIDGE RD HAVANA, FL 32333-5294 Owner: RICHARDSON, CANDIE F Phone: (850) 539-0736 Nbr Slots: 5 Lic Type: STANDARD Expiry: 9/1/2017 License #6906832 SINGLETON, PATRICIA 171 O'NEAL WAY HAVANA, FL 32333 Owner: SINGLETON, PATRICIA ANN Phone: (850) 539-0870 Nbr Slots: 5 Lic Type: STANDARD Expiry: 12/13/2017 COUNTY: HOLMES Facilities = 1 Slots = 4 License #6906720 MANNERS-MORALES, JULIA 3570 MORALES DR BONIFAY, FL 32425 Owner: MANNERS-MORALES, JULIA Phone: (850) 263-7693 Nbr Slots: 4 Lic Type: STANDARD Expiry: 10/27/2016 COUNTY: JEFFERSON Facilities = 1 Slots = 4 License #6905430 MAXWELL, DELORIS 385 W LAKE RD MONTICELLO, FL 32344-5647 Owner: MAXWELL, DELORIS Phone: (850) 997-0141 Nbr Slots: 4 Lic Type: STANDARD Expiry: 6/18/2017 COUNTY: MADISON Facilities = 1 Slots = 5 License #6906618 MOBLEY, GLORIA 3704 NE ROCKY FORD RD MADISON, FL 32340-4020 Owner: MOBLEY, GLORIA JEAN Phone: (850) 253-0106 Nbr Slots: 5 Lic Type: STANDARD Expiry: 7/8/2017 FIELD OFFICE CODE: 03 Slots = 191 Facilities = 42 COUNTY: ALACHUA Facilities = 3 Slots = 13

ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

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Page 1: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 1

FIELD OFFICE CODE: 01 Slots = 18Facilities = 4

COUNTY: ESCAMBIA Facilities = 4 Slots = 18

License #6905549 CROSBY, SANDRA TOLER683 BULLARD AVEPENSACOLA, FL 32514-3248

Owner: CROSBY, SANDRA TOLER

Phone: (850) 542-4236

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/18/2016

License #6906454 ESTARES, JOHN V3075 PARTRIDGE DRPENSACOLA, FL 32526

Owner: ESTARES, JOHN V

Phone: (850) 384-7656

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2016

License #82 FOWLER, GERTRUDE100 PINEDA AVEPENSACOLA, FL 32503-3639

Owner: FOWLER, GERTRUDE

Phone: (850) 432-5044

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/7/2016

License #6905237 WESLEY, LENORA DIANN7840 HERRINGTON DRPENSACOLA, FL 32534-4521

Owner: WESLEY, LENORA D

Phone: (850) 477-0914

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/5/2017

FIELD OFFICE CODE: 02 Slots = 23Facilities = 5

COUNTY: GADSDEN Facilities = 2 Slots = 10

License #6905367 RICHARDSON, CANDIE F.1748 IRON BRIDGE RDHAVANA, FL 32333-5294

Owner: RICHARDSON, CANDIE F

Phone: (850) 539-0736

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/1/2017

License #6906832 SINGLETON, PATRICIA171 O'NEAL WAYHAVANA, FL 32333

Owner: SINGLETON, PATRICIA ANN

Phone: (850) 539-0870

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/13/2017

COUNTY: HOLMES Facilities = 1 Slots = 4

License #6906720 MANNERS-MORALES, JULIA3570 MORALES DRBONIFAY, FL 32425

Owner: MANNERS-MORALES, JULIA

Phone: (850) 263-7693

Nbr Slots: 4Lic Type: STANDARDExpiry: 10/27/2016

COUNTY: JEFFERSON Facilities = 1 Slots = 4

License #6905430 MAXWELL, DELORIS385 W LAKE RDMONTICELLO, FL 32344-5647

Owner: MAXWELL, DELORIS

Phone: (850) 997-0141

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/18/2017

COUNTY: MADISON Facilities = 1 Slots = 5

License #6906618 MOBLEY, GLORIA3704 NE ROCKY FORD RDMADISON, FL 32340-4020

Owner: MOBLEY, GLORIA JEAN

Phone: (850) 253-0106

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/8/2017

FIELD OFFICE CODE: 03 Slots = 191Facilities = 42

COUNTY: ALACHUA Facilities = 3 Slots = 13

Page 2: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 2

License #6906358 JACKSON, RAYNYODA SHELONDA1230 NW 5TH AVEHIGH SPRINGS, FL 32643-0418

Owner: JACKSON, RAYNYODA

Phone: (386) 433-0305

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/13/2017

License #6906734 SCOTT, CHARLENE25035 NW 6TH AVNEWBERRY, FL 32669

Owner: SCOTT, CHARLENE

Phone: (352) 472-1902

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/1/2017

License #6906783 WARD, JANNET16803 NW 37TH TERRGAINESVILLE, FL 32609

Owner: WARD, JANNETT

Phone: (352) 214-7814

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/16/2017

COUNTY: BRADFORD Facilities = 2 Slots = 9

License #6906444 ARMISTEAD, NAOMI JANACE2876 SE 109TH STSTARKE, FL 32091-7461

Owner: ARMISTEAD, NOAMI J

Phone: (352) 468-2435

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/17/2016

License #6906643 BUCHANAN, JEFFERY5050 SE 135TH STSTARKE, FL 32091-6870

Owner: BUCHANAN, JEFFERY SCOTT

Phone: (904) 263-0055

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/12/2017

COUNTY: CITRUS Facilities = 1 Slots = 5

License #6906316 GREENE, KATHRYN R575 W SHARP LANELECANTO, FL 34461

Owner: GREENE, KATHRYN R

Phone: (352) 746-7318

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/6/2017

COUNTY: HAMILTON Facilities = 1 Slots = 5

License #6906665 BRYANT, DANIELLE3181 NW 111TH PLJASPER, FL 32052

Owner: BRYANT, DANIELLE

Phone: (386) 466-4226

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/27/2016

COUNTY: HERNANDO Facilities = 13 Slots = 60

License #6906796 ADDISON, KAREN4617 GOLDCOAST AVESPRING HILL, FL 34609

Owner: ADDISON, KAREN

Phone: (352) 293-3088

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/26/2017

License #6906821 AGUILAR, BENJAMIN6240 BRISTOL LNSPRING HILL, FL 34609

Owner: AGUILAR, BENJAMIN

Phone: (352) 556-3868

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2017

License #6906608 CHEVALIER, PATRICIA A1379 HENRY AVESPRING HILL, FL 34608-5120

Owner: CHEVALIER, PATRICIA ANN

Phone: (352) 200-6039

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/5/2017

License #6906403 GUERRA, ELSIE4125 EVERETT AVESPRING HILL, FL 34609-2447

Owner: GUERRA, ELSIE

Phone: (352) 556-4341

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/7/2018

Page 3: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 3

License #6905728 JONES, EVELYN2197 ORCHARD PARK DRSPRING HILL, FL 34608-4973

Owner: JONES, EVELYN

Phone: (352) 688-9296

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/17/2018

License #6905138 LONG, CHERI L1287 DELTONA BLVDSPRING HILL, FL 34606

Owner: LONG, CHERI

Phone: (352) 683-5255

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/3/2017

License #47 MCNEILL-POLLIAM, JEANINE7338 SPRING HILL DRSPRING HILL, FL 34606-4343

Owner: MCNEILL-PULLIAM, JEANINE MARY

Phone: (352) 683-6251

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/8/2017

License #6906585 MUSUMECI, BARBARA7130 MADRID RDWEEKI WACHEE, FL 34613-5324

Owner: MUSUMECI, BARBARA

Phone: (352) 600-7101

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/10/2016

License #6906787 POLANCO, MARIA1285 VALIANT AVESPRING HILL, FL 34608

Owner: POLANCO, MARIA

Phone: (352) 515-1471

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/6/2017

License #6906601 REYES, MARIBEL10551 THORNBERRY DRSPRING HILL, FL 34608-2832

Owner: REYES, MARIBEL

Phone: (352) 688-6383

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/25/2017

License #6906706 WARTHEN, SHARON291 PLUMTREE AVESPRING HILL, FL 34606-6155

Owner: WARTHEN, SHARON DENISE

Phone: (352) 600-7279

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/17/2016

License #6906810 WOLTER, ELSA H19390 POWELL RDBROOKSVILLE, FL 34604

Owner: WOLTER, ELSA H

Phone: (352) 799-9943

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/16/2017

License #6906216 YASSA, SAMEH SHAFIK9302 GERONA STSPRING HILL, FL 34608-5632

Owner: YASSA, SAMEH

Phone: (352) 584-9431

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/28/2018

COUNTY: LAKE Facilities = 6 Slots = 27

License #6906855 DARFUS, REBECCA H36140 CR 439EUSTIS, FL 32736

Owner: DARFUS, REBECCA H

Phone: (352) 483-2010

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/12/2018

License #6906852 GRAY-LESLIE, ROWENA27409 HAMMOCK VIEW CTYALAHA, FL 34797

Owner: GRAY-LESLIE, ROWENA

Phone: (443) 801-8492

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/13/2018

License #6906622 LAWRENCE, ELAINE500 GOSS AVELEESBURG, FL 34748-4503

Owner: LAWRENCE, ELAINE

Phone: (352) 315-1923

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/14/2017

Page 4: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 4

License #6905888 MINCEY, MALISHAS C.525 E GOTTSCHE AVEEUSTIS, FL 32726-3607

Owner: MINCEY, MALISHAS

Phone: (407) 928-1424

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/12/2017

License #6906829 STANLEY, AMANDA2494 HOLLY BERRY CIRCLERMONT, FL 34711

Owner: STANLEY, AMANDA ALISON

Phone: (516) 406-5934

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2017

License #6906673 THOMAS, BETTY36154 GRAYS AIRPORT RDFRUITLAND PK, FL 34731-5484

Owner: THOMAS, BETTY

Phone: (352) 272-2537

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/6/2018

COUNTY: LEVY Facilities = 2 Slots = 7

License #6906353 JAMES, MARY VERDELL1110 NE STATE ROAD 121WILLISTON, FL 32696-9026

Owner: JAMES, MARY VERDELL

Phone: (352) 528-4887

Nbr Slots: 3Lic Type: STANDARDExpiry: 8/2/2017

License #6906181 THOMAS, VANESSA SIMPSON3731 NE 217TH CTWILLISTON, FL 32696-7048

Owner: THOMAS, VANESSA SIMPSON

Phone: (352) 528-3362

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/30/2018

COUNTY: MARION Facilities = 13 Slots = 60

License #6906291 BRENNAN, ROSELLE11296 SE HIGHWAY 42SUMMERFIELD, FL 34491-8635

Owner: BRENNAN, ROSELLE E

Phone: (352) 307-0088

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/11/2016

License #6906623 BROWN, BEVERLY4671 SW 100TH LNOCALA, FL 34476

Owner: BROWN, BEVERLY DELORES

Phone: (352) 426-0600

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/21/2017

License #6906724 ELLISON, SHIRLEY2851 SW 142ND LNOCALA, FL 34473

Owner: ELLISON, SHIRLEY

Phone: (352) 470-7888

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2016

License #6906773 FOGARTY-WILLIAMS, BLASELMA530 NE 52ND CTOCALA, FL 34470

Owner: FOGARTY-WILLIAMS, BLASELMA

Phone: (352) 895-8334

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/20/2017

License #6906064 KAIBIGAN, CRISTETA15660 SE 86TH CTSUMMERFIELD, FL 34491

Owner: KAIBIGAN, CRISTETA

Phone: (352) 347-3484

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2017

License #6906809 MURRAY, MARGARET S11 CEDAR WAYOCALA, FL 34472

Owner: MURRAY, MARGARET S

Phone: (352) 789-8054

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/10/2017

License #6906378 NEIL, KEREN S29 PINE COURT LOOPOCALA, FL 34472-9095

Owner: NEIL, KEREN

Phone: (352) 680-0988

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/14/2017

Page 5: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 5

License #6906755 NEWMAN, SHARON KAY3539 SE 136TH PLSUMMERFIELD, FL 34491

Owner: NEWMAN, SHARON KAY

Phone: (352) 406-1452

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/25/2017

License #6906684 PHIFER, JUNE10 ALMOND PLOCALA, FL 34472-9411

Owner: PHIFER-SUMMERS, JUNE NATASHA

Phone: (352) 572-8732

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/29/2018

License #6906573 RAMKARRAN. RENUKA4600 SW 100TH STOCALA, FL 34476-7790

Owner: RAMKARRAN, RENUKA

Phone: (352) 817-6443

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/10/2016

License #6906539 RIVERS, CAMMIE48 HEMLOCK RADLOCALA, FL 34472-8689

Owner: RIVERS, CAMMIE

Phone: (352) 304-4466

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2018

License #6906840 STRADE, ANGELICA1207 SE 15TH STOCALA, FL 34471

Owner: STRADE, ANGELICA CANDICE

Phone: (352) 414-5217

Nbr Slots: 1Lic Type: STANDARDExpiry: 2/4/2018

License #6905998 WHITE-THOMPSON, RUBY479 WATER RDOCALA, FL 34472-8239

Owner: WHITE-THOMPSON, RUBY

Phone: (352) 426-1224

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/30/2017

COUNTY: SUMTER Facilities = 1 Slots = 5

License #6906818 MARRION, ROSALIND7247 NORMAN STWEBSTER, FL 33597

Owner: MARRION, ROSALIND

Phone: (352) 437-0202

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/13/2017

FIELD OFFICE CODE: 04 Slots = 215Facilities = 49

COUNTY: CLAY Facilities = 4 Slots = 18

License #6906853 DANTUS, MARIE-GERVELLE2757 PEBBLERIDGE CTORANGE PARK, FL 32065

Owner: DANTUS, MARIE GERVELLE

Phone: (904) 535-6207

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/8/2018

License #6906875 GUTING, BRENETH2718 SHENANDOAH DR SORANGE PARK, FL 32073

Owner: GUTING, BRENETH

Phone: (904) 602-5389

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/31/2018

License #6906838 HARRIS, JANET3632 SUNSET OAK DRORANGE PARK, FL 32065

Owner: HARRIS, JANET

Phone: (305) 510-5829

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/20/2018

License #6905291 SWARTOUT, WILLIAM4860 CHICKPEA STMIDDLEBURG, FL 32068-5957

Owner: SWARTOUT, WILLIAM

Phone: (904) 291-1962

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/22/2017

COUNTY: DUVAL Facilities = 19 Slots = 88

Page 6: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 6

License #6906589 BONNER, BELINDA RASHEED4223 HOMER RD SJACKSONVILLE, FL 32209-1613

Owner: BONNER, BELINDA RASHEED

Phone: (904) 236-7051

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/7/2017

License #6906332 CAMPOS, MARINA L10731 INDIES DR NJACKSONVILLE, FL 32246-8840

Owner: CAMPOS, MARINA

Phone: (904) 642-1374

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2017

License #6906801 COWART-BROWN, SHELIA DENISE7604 CALVIN STJACKSONVILLE, FL 32208

Owner: COWART-BROWN, SHELIA DENISE

Phone: (904) 207-3910

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/25/2017

License #6905339 DOWDELL, DANIEL1214 SAINT CLAIR STJACKSONVILLE, FL 32254-2456

Owner: DOWDELL, DANIEL

Phone: (904) 655-3207

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/24/2018

License #6906723 FARLEY, ALTHEA3686 VICTORIA LAKES DR EJACKSONVILLE, FL 32226

Owner: FARLEY, ALTHEA ALICIA

Phone: (904) 208-8280

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2016

License #31 JOHNS, DONNA M.1422 ELMAR RDJACKSONVILLE, FL 32218-1930

Owner: JOHNS, DONNA M

Phone: (904) 751-6354

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2018

License #6906606 JONES, EFFIE3938 BRAMBLE RDJACKSONVILLE, FL 32210-4555

Owner: JONES, EFFIE

Phone: (904) 713-3352

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/25/2017

License #6906429 JONES, MARIAN LAVONNE3501 CENTERHILL DR NJACKSONVILLE, FL 32254-3042

Owner: JONES, MARIAN LAVONNE

Phone: (904) 683-8096

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2018

License #6906772 LEE, MORINE1804 UNIVERSITY BLVDJACKSONVILLE, FL 32211

Owner: LEE, MORINE

Phone: (904) 651-1606

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/17/2017

License #6905332 MONROE, ANNIE CAROL8372 COUNTRY CREEK BLVDJACKSONVILLE, FL 32221-6685

Owner: MONROE, ANNIE CAROL

Phone: (904) 783-9448

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/19/2017

License #6906679 NOEL, WISLY3431 BRAHMA BULL CIR NJACKSONVILLE, FL 32226-4879

Owner: NOEL, WISLY

Phone: (904) 554-6051

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/14/2018

License #6906843 NORTHRUP, JANET4906 FREDERICKSBURG AVEJACKSONVILLE, FL 32208

Owner: UPTON-NORTHRUP, JANET E

Phone: (904) 608-4036

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/14/2018

License #6905876 PAR, BEATRIZ10120 LAKE VIEW RD WJACKSONVILLE, FL 32225-4436

Owner: PAR, BEATRIZ

Phone: (904) 642-0335

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2017

Page 7: ADULT FAMILY CARE HOME DIRECTORY - Floridab.ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted... · Nbr Slots: 5 Lic Type: STANDARD ... MONTICELLO, FL 32344-5647 Owner:

ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 7

License #6906860 POTTER, ABBEY GALE15751 TWIN CREEK DRJACKSONVILLE, FL 32218

Owner: POTTER, ABBEYGALE

Phone: (904) 520-1584

Nbr Slots: 2Lic Type: STANDARDExpiry: 5/26/2018

License #6906683 RICHARDS, DEBRA4082 VICTORIA LAKES DR SJACKSONVILLE, FL 32226-0711

Owner: RICHARDS, DEBRA ALTHEA

Phone: (904) 379-0354

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/28/2018

License #33 SHIPP, DELOIS8942 6TH AVEJACKSONVILLE, FL 32208-2126

Owner: SHIPP, DELOIS W

Phone: (904) 766-1850

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/13/2017

License #6906603 ST HUBERT, AGELET764 AQUA SURF CTJACKSONVILLE, FL 32225

Owner: ST- HUBERT, AGELET

Phone: (904) 554-6051

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/28/2017

License #6905645 THOMAS, MATTIE2220 BELVEDERE STJACKSONVILLE, FL 32208-2152

Owner: THOMAS, MATTIE BELL

Phone: (904) 764-0593

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/9/2017

License #6905691 WASHINGTON, ETHEL1963 W 17TH STJACKSONVILLE, FL 32209-4775

Owner: WASHINGTON, ETHEL

Phone: (904) 355-4607

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/13/2018

COUNTY: FLAGLER Facilities = 15 Slots = 62

License #6906777 ALEXIS, MARIE ANTOINETTE63 RYBERRY DRPALM COAST, FL 32164

Owner: ALEXIS, MARIE ANTOINETTE

Phone: (386) 206-4831

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/1/2017

License #6906778 ALEXIS, MARIE GILIANNE14 RICHELIEU LNPALM COAST, FL 32164

Owner: ALEXIS, MARIE GILIANNE

Phone: (386) 437-9724

Nbr Slots: 2Lic Type: STANDARDExpiry: 6/1/2017

License #6906803 ALVAREZ, JESSY35 BARRING PLPALM COAST, FL 32137

Owner: ALVAREZ, JESSY

Phone: (386) 338-7701

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/1/2017

License #6906776 ANTOINE, LITHA47 PICKERING DRPALM COAST, FL 32164

Owner: ANTOINE, LITHA

Phone: (386) 864-0707

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/27/2017

License #6906482 APOLLON, JOSEPH A41 WOODLAWN DRPALM COAST, FL 32164-7915

Owner: APOLLON, JOSEPH ALEX

Phone: (386) 931-9871

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/10/2017

License #6906793 BLAKE, JAMES11 WHITE FEATHER LNPALM COAST, FL 32164

Owner: BLAKE, JAMES

Phone: (386) 445-2111

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/20/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 8

License #6906652 BONNER, RAYMOND1 LAKE PLACID LNPALM COAST, FL 32137-9505

Owner: BONNER, RAYMOND D

Phone: (386) 445-4680

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/8/2018

License #6906835 BURTON, SOPHIA119 BUD HOLLOW DRPALM COAST, FL 32137

Owner: BURTON, SOPHIA

Phone: (386) 338-1978

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018

License #6906496 ETIENNE, MARC A145 WHISPERING PINE DRPALM COAST, FL 32164-7256

Owner: ETIENNE, MARC A

Phone: (386) 445-8835

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/24/2017

License #6906659 ETIENNE, RICOT33 ROXBORO DRPALM COAST, FL 32164-6966

Owner: ETIENNE, RICOT A

Phone: (386) 338-8784

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/6/2018

License #6906859 EUGENE, YOLETTE22 WOODFIELD DRPALM COAST, FL 32164

Owner: EUGENE, YOLETTE

Phone: (386) 627-8814

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/26/2018

License #6906836 GREEN, KAREN8 KATHLEEN TRLPALM COAST, FL 32164

Owner: GREEN, KAREN

Phone: (954) 461-9115

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018

License #6906826 LOUIS, MARIE ERLYNE19 BURNINGWICK PLPALM COAST, FL 32137

Owner: LOUIS, MARIE ERLYNE

Phone: (386) 631-0432

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/1/2017

License #6906794 SIMS, DARNELLA184 BAYSIDE DRPALM COAST, FL 32137

Owner: SIMS, DARNELLA

Phone: (386) 597-7258

Nbr Slots: 2Lic Type: STANDARDExpiry: 7/20/2017

License #6906847 TRASYBULE, GUIRLANDE32 RYLAND DRPALM COAST, FL 32164

Owner: TRASYBULE, GUIRLANDE

Phone: (386) 313-5128

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/15/2018

COUNTY: VOLUSIA Facilities = 11 Slots = 47

License #6905595 CAEDO-COLLINS, TERESITA2555 GLENCOE FARMS RDNEW SMYRNA, FL 32168-9392

Owner: CAEDO-COLLINS, TERESITA

Phone: (386) 426-7859

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/12/2018

License #6906828 CERANT, LOVE112 5TH STHOLLY HILL, FL 32117

Owner: CERANT, LOVE

Phone: (386) 265-2912

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/1/2017

License #6906880 CHA, SUNGOK BERNADETTE2913 INDIA PALM DREDGEWATER, FL 32141

Owner: CHA, SUNGOK BERNADETTE

Phone: (407) 747-4643

Nbr Slots: 2Lic Type: STANDARDExpiry: 9/8/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 9

License #6906736 CLARK, ELLEN1644 ALANSON DRDELAND, FL 32724

Owner: CLARK, ELLEN

Phone: (386) 801-7881

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/8/2017

License #6906318 FIELLO, SUSAN ELIZABETH1721 VICTORY PALM DREDGEWATER, FL 32132-3114

Owner: FIELLO, SUSAN ELIZABETH

Phone: (386) 690-9036

Nbr Slots: 2Lic Type: STANDARDExpiry: 4/16/2017

License #6906460 MATUSIK, DEBBIE1580 PETERSON ROADORANGE CITY, FL 32763

Owner: MATUSIK, DEBBIE

Phone: (386) 774-6493

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2017

License #6906553 RANSOM, FRANCES3172 N COVINGTON DRDELTONA, FL 32738-1675

Owner: RANSOM, FRANCES

Phone: (386) 215-2909

Nbr Slots: 3Lic Type: STANDARDExpiry: 5/28/2018

License #6905355 REDDIN, CORREAN725 PARQUE DRORMOND BEACH, FL 32174-7585

Owner: REDDIN, CORREAN

Phone: (386) 671-1469

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/18/2017

License #6906837 RIVERS, CHRISTINA8 SEAFARERS DRORMOND BEACH, FL 32176

Owner: RIVERS, CHRISTINA

Phone: (386) 405-5031

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2018

License #6905280 ROBINSON, WAVOKA1289 MAYTOWN RDOAK HILL, FL 32759-9103

Owner: ROBINSON, WAVOKA

Phone: (386) 345-2022

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/20/2017

License #6906574 TIMOGENE, MARIE M.2933 COTTAGEVILLE STDELTONA, FL 32738-9791

Owner: TIMOGENE, MARIE

Phone: (386) 259-4435

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2018

FIELD OFFICE CODE: 05 Slots = 120Facilities = 26

COUNTY: PASCO Facilities = 12 Slots = 57

License #6906862 FAN, HUI CHAN8914 JASMINE BLVDPORT RICHEY, FL 34668

Owner: FAN, HUICHAN

Phone: (727) 808-8813

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/26/2018

License #6906246 FRAYNE, SHIELA ROSE2730 BLUESLATE CTLAND O LAKES, FL 34638-6088

Owner: FRAYNE, SHIELA ROSE

Phone: (813) 909-8582

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/15/2018

License #6906670 HARRELL, TERRY15151 CAMROSE AVESPRING HILL, FL 34610-6742

Owner: HARRELL, TERRY PAIGE

Phone: (727) 856-5569

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/26/2018

License #6905585 HOPKINS, EDITH LOUISE7425 HACKAMORE RDZEPHYRHILLS, FL 33541-9207

Owner: HOPKINS, EDITH

Phone: (813) 779-8831

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/4/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 10

License #6905760 MCCARRON, STEPHANIE6163 MAPLEWOOD DRNEW PORT RICHEY, FL 34653

Owner: HY, STEPHANIE L

Phone: (727) 849-6998

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/31/2018

License #6906035 MCFETRIDGE, TERESA5714 MONROE STNEW PORT RICHEY, FL 34653

Owner: MCFETRIDGE, TERESA

Phone: (727) 847-1745

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/3/2017

License #6906825 MERISIER, ZACHEE2202 MAUREEN DRHOLIDAY, FL 34690

Owner: MERISIER, ZACHEE

Phone: (813) 732-2350

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/30/2017

License #6906760 MOORE, BIBI1828 UPPER RDWESLEY CHAPEL, FL 33543

Owner: MOORE, BIBI KHAN

Phone: (813) 917-4843

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/5/2017

License #6906552 OTHMER, NORMA DOREEN22707 RODERICK DRLAND O LAKES, FL 34639-4098

Owner: OTHMER, NORMA DOREEN

Phone: (813) 388-2818

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/16/2018

License #6906848 PRICE, TINA1201 LODESTAR DRHOLIDAY, FL 34690

Owner: PRICE, TINA

Phone: (727) 940-3650

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/27/2018

License #6906371 SANTOS, ESMERALDA M.9421 BARRINGTON LNPORT RICHEY, FL 34668

Owner: SANTOS, ESMERALDA M

Phone: (727) 863-3017

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017

License #6906028 TAYLOR, ROBERT E8905 HARVEY LNPORT RICHEY, FL 34668-5212

Owner: TAYLOR, ROBERT

Phone: (727) 848-2071

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017

COUNTY: PINELLAS Facilities = 14 Slots = 63

License #6906414 BAKER, KATRINA ROBINSON1553 CLARK STCLEARWATER, FL 33755-3510

Owner: BAKER, KATRINA ROBINSON

Phone: (727) 447-4685

Nbr Slots: 3Lic Type: STANDARDExpiry: 5/5/2018

License #6906324 BAKER, ROSE1305 WOODBINE STCLEARWATER, FL 33755-2747

Owner: BAKER, ROSE

Phone: (727) 515-3766

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/28/2017

License #6906812 BOSTIC, SHALONDRIA1575 52ND AVE NSAINT PETERSBURG, FL 33703

Owner: BOSTIC, SHALONDRIA

Phone: (727) 954-4227

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/22/2017

License #6906725 BRAIDE, ALTERMAE2426 19TH ST SST PETERSBURG, FL 33712-3618

Owner: BRAIDE, ALTERMAE

Phone: (727) 686-9595

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/30/2016

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 11

License #6906767 GEORGE, CURTIS JR24 FRESHWATER DRPALM HARBOR, FL 34684

Owner: GEORGE, CURTIS JR

Phone: (813) 468-7384

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/6/2017

License #6906830 HAYNES, KATIE M4123 WHITING DR SESAINT PETERSBURG, FL 33705

Owner: HAYNES, KATIE M

Phone: (727) 821-3930

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2017

License #23 KALENA, EVALOU823 SCOTLAND STDUNEDIN, FL 34698-7126

Owner: KALENA, EVALOU

Phone: (727) 733-8304

Nbr Slots: 3Lic Type: STANDARDExpiry: 11/10/2017

License #6906842 LAMPLEY, TOMMY R4734 9TH AVE SSAINT PETERSBURG, FL 33711

Owner: LAMPLEY, TOMMY R

Phone: (727) 623-3705

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/11/2018

License #6906524 LANE, GLORIA J1710 HARBOR DRCLEARWATER, FL 33755-1825

Owner: LANE, GLORIA JEAN

Phone: (727) 474-7620

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2018

License #6906726 PEREZ, MELCHOR9583 SUN ISLE DR NESAINT PETERSBURG, FL 33702

Owner: PEREZ, MELCHOR FRANK

Phone: (727) 576-4700

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/6/2016

License #6906786 PRUDENT, LESLY & LISE ANTOINE LAURELLE BLANCHARD5028 34TH AVE NSAINT PETERSBURG, FL 33710

Owner: PRUDENT, LESLY

Phone: (727) 289-1439

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/30/2017

License #6906228 RAMDASS, RITA RUBINA9047 7TH ST NST PETERSBURG, FL 33702-3003

Owner: RAMDASS, RITA RUBINA

Phone: (727) 577-5030

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2018

License #6905445 RUIZ, BEVERLY ANN2814 EDWARDS AVE SST PETERSBURG, FL 33705-3653

Owner: RUIZ, BEVERLY

Phone: (727) 642-6894

Nbr Slots: 3Lic Type: STANDARDExpiry: 8/2/2017

License #6905697 VIOLETTE, KEITH THOMAS350 69TH ST NCLEARWATER, FL 33764-7138

Owner: VIOLETTE, KEITH T

Phone: (727) 831-3502

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/25/2017

FIELD OFFICE CODE: 06 Slots = 349Facilities = 79

COUNTY: HILLSBOROUGH Facilities = 54 Slots = 231

License #6906856 ANOZARD, BEATRICE7525 DRAGONFLY LOOPGIBSONTON, FL 33534

Owner: ANOZARD, BEATRICE

Phone: (954) 213-4855

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/16/2018

License #6906743 ARAUJO, DOROTHY11626 TROPICAL ISLE LNRIVERVIEW, FL 33579

Owner: ARAUJO, DOROTHY

Phone: (813) 862-8871

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/20/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 12

License #6905996 BISNATH, JUDY212 W LINEBAUGH AVETAMPA, FL 33612-7936

Owner: BISNATH, JUDY

Phone: (813) 932-8307

Nbr Slots: 3Lic Type: STANDARDExpiry: 5/19/2018

License #6905193 BODE, DOROTHY11930 FORT KING HWYTHONOTOSASSA, FL 33592-2804

Owner: BODE, DOROTHY

Phone: (813) 986-2567

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/14/2016

License #6906713 BUCHANAN, OLIVER11750 STERLING RDTHONOTOSASSA, FL 33592

Owner: BUCHANAN, OLIVER P

Phone: (813) 986-1278

Nbr Slots: 3Lic Type: STANDARDExpiry: 9/30/2016

License #6906628 BURROWES, RAMONA714 PARKER DEN DRRUSKIN, FL 33570-2054

Owner: BURROWES, RAMONA YVETTE

Phone: (813) 802-7451

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/7/2017

License #6905194 BURSTON, CARRIE DELL3202 E 25TH AVETAMPA, FL 33605-2142

Owner: BURSTON, CARRIE DELL

Phone: (813) 248-1571

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/17/2017

License #6906154 CHANG, RAMON2607 W HUMPHREY STTAMPA, FL 33614-1824

Owner: CHANG, RAMON

Phone: (813) 936-2273

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/1/2017

License #6905498 CONNATSER, SARAH JANE14576 BLACKJACK RDDOVER, FL 33527-4300

Owner: CONNATSER, SARAH JANE

Phone: (813) 719-2919

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/27/2018

License #6906022 COX, NETTIE1536 CREEKBEND DRBRANDON, FL 33510-2351

Owner: COX, NETTIE

Phone: (813) 651-9572

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/30/2018

License #6906748 DAIGLE, ELRIDGE JR10507 SEDGEBROOK DRRIVERVIEW, FL 33569

Owner: DAIGLE, ELRIDGE

Phone: (813) 672-3880

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/19/2017

License #6906765 DAWSON, BOBBIE420 LAGUNA MILL DRRUSKIN, FL 33570

Owner: DAWSON, BOBBIE LOUISE

Phone: (813) 956-7897

Nbr Slots: 1Lic Type: STANDARDExpiry: 4/26/2017

License #6906199 DHANIERAM, BARBARA PATRICIA11320 TORREY PINES DRRIVERVIEW, FL 33579-7041

Owner: DHANIERAM, BARBARA PATRICIA

Phone: (813) 383-7162

Nbr Slots: 3Lic Type: STANDARDExpiry: 3/19/2018

License #6906877 ELISCARD, JONALDINE934 MEADOW GLADE DRRUSKIN, FL 33570

Owner: JONALDINE, ELISCARD

Phone: (941) 565-9193

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/9/2018

License #6906663 FILS-AIME, NADEGE305 VINE CLIFF STRUSKIN, FL 33570-4935

Owner: FILS AIME, NADEGE

Phone: (813) 562-0385

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/19/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 13

License #29073 FRANCIS, RUBY11806 STERLING RDTHONOTOSASSA, FL 33592-2124

Owner: FRANCIS, RUBY

Phone: (813) 986-1910

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/24/2018

License #6906814 FRANCOEUR, MARIE JOSEE8206 ABBEY MIST COVETAMPA, FL 33619

Owner: FRANCOEUR, MARIE JOSEE

Phone: (813) 479-3591

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/30/2017

License #6906514 GRAY, MICHAEL A8827 COBB RDRIVERVIEW, FL 33578-4927

Owner: GRAY, MICHAEL ALFRED

Phone: (813) 672-3376

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/14/2017

License #6906815 GREEN, ELIZABETH3203 PINELLAS PLTAMPA, FL 33619

Owner: GREEN, ELIZABETH

Phone: (813) 280-9795

Nbr Slots: 4Lic Type: STANDARDExpiry: 10/5/2017

License #29016 HAUGHBROOK, GUSSIE P.2501 HIGHWAY 60 EPLANT CITY, FL 33567-3829

Owner: HAUGHBROOK, GUSSIE

Phone: (813) 737-1335

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/27/2018

License #6906197 HEPBURN, GLORIA R8616 FISH LAKE RDTAMPA, FL 33619-4929

Owner: HEPBURN, GLORIDA RICHARDSON

Phone: (813) 758-5393

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/12/2018

License #6906775 JACKSON, JAMILYA8207 MIDNIGHT SUN CTRIVERVIEW, FL 33578

Owner: JACKSON, JAMILYA

Phone: (813) 466-2284

Nbr Slots: 2Lic Type: STANDARDExpiry: 5/26/2017

License #6906678 JAMES, MICHELE7608 COPELAND RDODESSA, FL 33556-3205

Owner: JAMES, MICHELE CELESTINE

Phone: (813) 778-8245

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/20/2018

License #6906865 JEFFERIES, KAMILLIA4231 TRUMAN DRSEFFNER, FL 33584

Owner: JEFFERIES, KAMILLIA

Phone: (813) 643-0150

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2018

License #6905950 JEROME, ELIANNE D.2158 BRANDON PARK CIRBRANDON, FL 33510-3946

Owner: JEROME, ELIANNE D

Phone: (813) 654-6886

Nbr Slots: 3Lic Type: STANDARDExpiry: 1/12/2018

License #6906609 JOHNSON, DEANNA C2325 W PINE STTAMPA, FL 33607

Owner: JOHNSON, DEANNA CELES

Phone: (813) 251-8506

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017

License #2920 JONES, AGATHA1306 SEFFNER VALRICO RDSEFFNER, FL 33584-6159

Owner: JONES, AGATHA

Phone: (813) 651-9532

Nbr Slots: 3Lic Type: STANDARDExpiry: 10/21/2016

License #29041 JONES, ERMA1905 W UNION STTAMPA, FL 33607-4317

Owner: JONES, ERMA

Phone: (813) 374-1971

Nbr Slots: 3Lic Type: STANDARDExpiry: 3/30/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 14

License #6905766 KELLY, EMMA509 CALHOUN AVESEFFNER, FL 33584-3614

Owner: KELLY, EMMA LEE

Phone: (813) 571-2235

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/16/2018

License #6906878 LAMADIEU, SAMANTHA709 S 51ST STTAMPA, FL 33619

Owner: LAMADIEU, SAMANTHA V

Phone: (813) 900-6018

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/23/2018

License #6905476 LESTER, PATRICIA ANN4307 E POWHATAN AVETAMPA, FL 33610-4640

Owner: LESTER, PATRICIA

Phone: (813) 632-1392

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/26/2017

License #6906839 MALLARD, RONSAE10803 CARLOWAY HILLS DRWIMAUMA, FL 33598

Owner: MALLARD, RONSAE

Phone: (386) 288-5697

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/28/2018

License #6905380 MARIN, MARIA LUISA2915 W TAMPA BAY BLVDTAMPA, FL 33607-1232

Owner: MARIN, MARIA LUISA

Phone: (813) 348-4109

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/24/2017

License #6906029 MARTINEZ, MILEDY6508 AMUNDSON CTTAMPA, FL 33634-4731

Owner: MARTINEZ, MILEDY

Phone: (813) 880-8393

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/21/2017

License #6906362 MENTOR, ROSIA6723 N 13TH STTAMPA, FL 33604-5614

Owner: MENTOR, ROSIA BAGLEY

Phone: (813) 237-0617

Nbr Slots: 3Lic Type: STANDARDExpiry: 8/20/2017

License #6906740 MILLER, JUANITA510 WYNNWOOD DRBRANDON, FL 33511

Owner: MILLER, JUANITA

Phone: (813) 385-8188

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/13/2017

License #6905097 MILLER, WILLIE RUTH4812 S 86TH STTAMPA, FL 33619-7126

Owner: MILLER, WILLIE R

Phone: (813) 672-3160

Nbr Slots: 3Lic Type: STANDARDExpiry: 8/6/2017

License #6906769 MILLER-HOLMES, ANDREA C11314 CALLAWAY POND DRRIVERVIEW, FL 33579

Owner: MILLER-HOLMES, ANDREA C

Phone: 813-532-0594

Nbr Slots: 2Lic Type: STANDARDExpiry: 5/12/2017

License #6906741 NELSON, TONYA19103 TRACY CTLUTZ, FL 33548

Owner: NELSON, TONYA VANZETTE

Phone: (813) 968-8214

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/8/2017

License #6906863 NOEL, NATACHA1014 CRISTELLE JEAN DRRUSKIN, FL 33570

Owner: NOEL, NATACHA

Phone: (813) 325-2581

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/7/2018

License #6906833 OLAJIDE, LAUREL13119 FENNWAY RIDGE DRRIVERVIEW, FL 33579

Owner: OLAJIDE, LAUREL

Phone: (813) 579-0243

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/29/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 15

License #6906712 PYRON, TONIA8550 QUEEN BROOKS CTTEMPLE TERR, FL 33637-4913

Owner: PYRON, TONIA

Phone: (813) 598-4065

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/30/2016

License #6906867 REEDER, ANTHONY2931 BANZA STTAMPA, FL 33605

Owner: REEDER, ANTHONY

Phone: (813) 512-8449

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/20/2018

License #6906850 ROBERTS, RICHARD4906 S 81ST STTAMPA, FL 33619

Owner: ROBERTS, RICHARD

Phone: (813) 546-0891

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/12/2018

License #6906469 SALOMON, SANDRA M1004 LARWOOD PINE DRRUSKIN, FL 33570-5334

Owner: SALOMON, SANDRA MARIE

Phone: (813) 476-8875

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/13/2017

License #6906802 SIMEON, MARIE ELIDIANE8206 PENNYWELL PLTAMPA, FL 33615

Owner: SIMEON, MARIE ELIDIANE

Phone: (813) 445-9763

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/25/2017

License #6906800 SOLIMAN, TIMOTHY M738 TANANA FALL DRRUSKIN, FL 33570

Owner: SOLIMAN, TIMOTHY M

Phone: (813) 728-0551

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/19/2017

License #6906758 STEPHENS-OATMAN, OVIA V4220 BALINGTON DRVALRICO, FL 33596

Owner: STEPHENS-OATMAN, OVIA VONCILE

Phone: (813) 684-5316

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017

License #6906580 THOMPSON, NOVLETTE3204 N 16TH STTAMPA, FL 33605-1822

Owner: THOMPSON, NOVLETTE YVONNE

Phone: (813) 458-4442

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/14/2016

License #6906834 TILLMAN, KATHERINE8119 N MULBERRY STTAMPA, FL 33604

Owner: TILLMAN, KATHERINE

Phone: (813) 410-6159

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/3/2018

License #6905877 VEREEN, ROBERT PONDER10010 BENJAMIN SMITH DRTHONOTOSASSA, FL 33592-3367

Owner: VEREEN, ROBERT PONDER

Phone: (813) 986-9003

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/22/2017

License #6906480 WALKER, HARVEY ANDREW607 GREEN COVE DRBRANDON, FL 33510-3817

Owner: WALKER, HARVEY ANDREW

Phone: (813) 486-3984

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/27/2017

License #6905166 WILLIAMS, PHOEBE4006 E REGNAS AVETAMPA, FL 33617-6830

Owner: WILLIAMS, PHOEBE

Phone: (813) 751-6817

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/4/2017

License #6905677 WILLIAMS, SONYA501 N FREMONT AVETAMPA, FL 33606-1236

Owner: WILLIAMS, SONYA CORNELIA

Phone: (813) 254-1083

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 16

COUNTY: MANATEE Facilities = 8 Slots = 40

License #6906861 BEST, VANESSA4222 30TH LN EBRADENTON, FL 34208

Owner: BEST, VANESSA LYNN

Phone: (518) 859-1254

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/26/2018

License #6905860 CARLEY, JOHN & SHIRLEY3105 CANAL RDPALMETTO, FL 34221

Owner: CARLEY, SHIRLEY

Phone: (941) 722-1082

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/5/2018

License #6906750 DAUPHIN, MIRLENE5333 24TH ST CT EBRADENTON, FL 34203

Owner: DAUPHIN, MIRLENE

Phone: (941) 773-8213

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/26/2017

License #6906624 FORCILUS, ELMITA1712 24TH ST EPALMETTO, FL 34221-6452

Owner: FORCILUS, ELMITA

Phone: (941) 981-5903

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/22/2017

License #6906757 GUILLAURY, RUTHE1902 49TH AVE EBRADENTON, FL 34203

Owner: GUILLAURY, RUTHE

Phone: (941) 237-8174

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017

License #6906638 MAYS, EUGENIA D2606 4TH ST EBRADENTON, FL 34208-3813

Owner: MAYS, EUGENIA DELPHINE

Phone: (941) 580-0622

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/8/2017

License #6906845 SAINT-LOUIS, MARIE YVROSE5302 65 TERR EELLENTON, FL 34222

Owner: SAINT-LOUIS, MARIE YVROSE

Phone: (941) 447-3455

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/2/2018

License #6906621 WALKER-AVOINE, EVADNEY201 22ND STREET CT NEBRADENTON, FL 34208-1756

Owner: WALKER-AVOINE, EVADNEY E

Phone: (941) 747-4757

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/14/2017

COUNTY: POLK Facilities = 17 Slots = 78

License #6906754 BONZIL, GUTHO582 KOALA DRKISSIMMEE, FL 34759

Owner: BONZIL, GUTHO

Phone: (321) 442-5183

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/15/2017

License #6906761 BROWN, JOVITA MOISE2411 DORADO AVEHAINES CITY, FL 33844

Owner: BROWN, JOVITA MOISE

Phone: (863) 614-4146

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/6/2017

License #6906660 DOUGLAS, JUDITH BARRETT3988 HAMPTON HILLS DRLAKELAND, FL 33810-3841

Owner: DOUGLAS, JUDITH MONICA BARRETT

Phone: (410) 245-8685

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/16/2018

License #6906039 FLENER, JENNIFER NICHOLE4740 FIGHTER RDBARTOW, FL 33830-9684

Owner: FLENER, JENNIFER NICHOLE

Phone: (863) 534-1081

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/9/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 17

License #6906156 FLYNN, COLLEEN ANITA5615 ROYAL HILLS STWINTER HAVEN, FL 33881-7703

Owner: MARSHALL, COLLEEN ANITA

Phone: (863) 307-1298

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/6/2017

License #6906729 HALL, FRANTERIA N5871 WIND RIDGE DRWINTER HAVEN, FL 33881

Owner: HALL, FRANTERIA NATESHA

Phone: (407) 272-1556

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/3/2016

License #6906492 HANNA, MURIEL111 LAKE DAVENPORT ESTATES DRDAVENPORT, FL 33897-8553

Owner: HANNA, MURIEL

Phone: (407) 451-0171

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/11/2017

License #6906328 MATHIS, VERA RENITA331 THOMASDALE AVEHAINES CITY, FL 33844-6381

Owner: MATHIS, VERA RENITA

Phone: (863) 242-1261

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/13/2017

License #6906490 MCGORDON, JACQUELINE1038 N WALKER AVELAKELAND, FL 33805-4276

Owner: MCGORDON, JACQUELINE GALE

Phone: (863) 934-8028

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/2/2017

License #6906764 MOORE, CAYONNA M3805 MCKINLEY DRWINTER HAVEN, FL 33880

Owner: MOORE, CAYONNA M

Phone: (863) 229-7186

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/21/2017

License #6906270 MORAME, JULIA5500 WATKINS RDHAINES CITY, FL 33844-6254

Owner: MORAME, JULIA

Phone: (863) 269-9753

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/24/2016

License #6906588 OBRY, GENA439 AVENUE D SEWINTER HAVEN, FL 33880-3531

Owner: OBRY, GENA

Phone: (863) 229-5419

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/27/2016

License #6906614 RICHARDSON, RHONDA309 N WETMORE STLAKE WALES, FL 33853-4057

Owner: RICHARDSON, RHONDA JANEICE

Phone: (863) 223-8104

Nbr Slots: 3Lic Type: STANDARDExpiry: 5/21/2017

License #6906789 SPARKMAN, JENNIFER L1116 AVE BHAINES CITY, FL 33844

Owner: SPARKMAN, JENNIFER

Phone: (863) 605-5656

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/9/2017

License #6906331 TONEY, IRENE2962 MORRIS DRBARTOW, FL 33830-9350

Owner: TONEY, IRENE

Phone: (863) 519-6424

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2017

License #6905707 WATKINS, MARILYN LOUISE620 BAKER AVEBARTOW, FL 33830-3505

Owner: WATKINS, MARILYN

Phone: (863) 533-5852

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/21/2018

License #6905928 WHEELER-WILLIAMS, JANET534 LAKEVIEW DRPOINCIANA, FL 34759-5318

Owner: WILLIAMS, JANET

Phone: (863) 496-1946

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/8/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 18

FIELD OFFICE CODE: 07 Slots = 247Facilities = 53

COUNTY: BREVARD Facilities = 14 Slots = 64

License #6906866 ABELARD, MARGARETTE840 DAMASK ST NEPALM BAY, FL 32905

Owner: ABELARD, MARGARETTE

Phone: (321) 914-0104

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2018

License #6906762 FRATER, SHERON C1041 PEMBROKE AVE NEPALM BAY, FL 32907

Owner: FRATER, SHERON C

Phone: (321) 345-5688

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/13/2017

License #6906248 FREEMAN, INEZ GWENDOLYN1771 HALFMOON ST NWPALM BAY, FL 32907-9220

Owner: FREEMAN, INEZ GWENDOLYN

Phone: (321) 956-3190

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/20/2016

License #6906656 JACQUES, MARIE LISENA DESTINE251 FALLS CHURCH ST SWPALM BAY, FL 32908-7180

Owner: JACQUES, MARIE LISENA DESTINE

Phone: (321) 265-1881

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/16/2018

License #6906355 JAMES, ANGELA933 HOOD STPALM BAY, FL 32907

Owner: JAMES, ANGELA

Phone: (321) 984-8427

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/13/2017

License #6906308 JONES, PATRICIA207 OLIVICK CIR NEPALM BAY, FL 32907-1136

Owner: JONES, PATRICIA ANN

Phone: (321) 676-1714

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2017

License #6905399 LAIDLAW, BERNICE2052-2054 SYRACUSE CTPALM BAY, FL 32905

Owner: LAIDLAW, BERNICE

Phone: (321) 951-2887

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/21/2017

License #6906533 LARIONNE, WITZA189 DONALD AVE NEPALM BAY, FL 32907-3158

Owner: LARIONNE, WITZA LABBE

Phone: (954) 249-7674

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/9/2018

License #6906563 LEE, COLLEEN174 SYKES LOOP DRMERRITT IS, FL 32953-3043

Owner: LEE, COLLEEN

Phone: (321) 890-9634

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/19/2018

License #6906846 MCCUTCHEON, MARY3473 MAZUR DRMELBOURNE, FL 32901

Owner: MCCUTCHEON, MARY

Phone: (321) 749-9442

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/10/2018

License #6906335 PROPHETE, JEANNETTE2460 S COURTENEY PKWYMERRITT ISLAND, FL 32952

Owner: PROPHETE, JEANNETTE LAMOUR

Phone: (321) 735-0814

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/2/2017

License #6906872 STEWART, DONNA149 SW HAGERTOWN STPALM BAY, FL 32908

Owner: STEWART, DONNA

Phone: (321) 505-1770

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/11/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 19

License #6906251 THELAMONT, ROSE MARTHE335 ABALONE RD NWPALM BAY, FL 32907-2961

Owner: THELAMONT, ROSE MARTHE

Phone: (321) 684-8722

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/23/2018

License #6906685 WILKES, KAREN664 ORANGE CTROCKLEDGE, FL 32955-2413

Owner: WILKES, KAREN

Phone: (321) 208-0245

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/2/2018

COUNTY: ORANGE Facilities = 33 Slots = 155

License #6906538 ANDERSON, ANGELA LAING89 DOBSON STORLANDO, FL 32805-1913

Owner: ANDERSON, ANGELA LAING

Phone: (407) 237-0535

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/21/2018

License #6906851 BORT, AARON824 CLIFTON HILLS STORLANDO, FL 32828

Owner: BORT, AARON

Phone: (407) 761-7385

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/12/2018

License #6906493 BORT, ALAN I3258 NATOMA WAYORLANDO, FL 32825-7183

Owner: BORT, ALAN I

Phone: (407) 761-7385

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/15/2017

License #6906728 BORT, EDITH227 WOODBURY PINES CIRORLANDO, FL 32828-9086

Owner: BORT, EDITH

Phone: (407) 719-0496

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/13/2016

License #6906025 BRYAN, MARCIA957 ROCK CREEK STAPOPKA, FL 32712-4841

Owner: BRYAN, MARCIA

Phone: (407) 409-4998

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/31/2018

License #6906557 BUISSERETH, NANCY1686 RACHELS RIDGE LOOPOCOEE, FL 34761-9000

Owner: BUISSERETH, NANCY

Phone: (407) 690-9755

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/25/2018

License #6906616 COLLADO, VALENTINE2668 LOGANDALE DRORLANDO, FL 32817-4722

Owner: COLLADO, VALENTINE APOYAN

Phone: (407) 421-4985

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/12/2017

License #6906707 DESROCHE, YOLENE5515 OAKWAY RDORLANDO, FL 32808-2830

Owner: DESROCHE, YOLENE

Phone: (407) 952-7397

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/28/2018

License #6906708 ETIENNE, YOLETTE3500 PLYMOUTH SORRENTO RDAPOPKA, FL 32712-5413

Owner: ETIENNE, YOLETTE

Phone: (407) 394-7301

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/2/2016

License #6906868 FORTIUS, PIERRE PAUL2399 LAUREL BLOSSOM CIROCOEE, FL 34761

Owner: FORTIUS, PIERRE PAUL

Phone: (407) 218-2738

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/27/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 20

License #6906306 FRANCIS, JOSEPH7049 HENNEPIN BLVDORLANDO, FL 32818

Owner: FRANCIS, JOSEPH

Phone: (407) 295-1189

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/10/2017

License #6906823 FRANCOIS, MARIE DENISE8655 TARRAGON DRORLANDO, FL 32825

Owner: FRANCOIS, MARIE DENISE

Phone: (954) 663-2760

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/29/2017

License #6906805 GRANDIN, JOSEPHINE F1802 HINCKLEY RDORLANDO, FL 32818

Owner: GRANDIN, JOSEPHINE FELIX

Phone: (321) 217-9384

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/2/2017

License #6905765 GUZMAN, DAVID3627 N APOPKA VINELAND RDORLANDO, FL 32818-8667

Owner: GUZMAN, DAVID

Phone: (407) 963-5084

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/10/2018

License #6906849 HYPPOLITE-ALPHONSE, LISE I1542 PROVIDENCE CIRORLANDO, FL 32818

Owner: HYPPOLITE-ALPHONSE, LISE I

Phone: (321) 948-8533

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/4/2018

License #6906858 JEAN-PIERRE, FLORENCE7873 TANBIER DRORLANDO, FL 32818

Owner: JEAN-PIERRE, FLORENCE

Phone: (215) 939-7560

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/25/2018

License #6906474 JEAN-PIERRE, MARYSE4505 MEADOWBROOK AVEORLANDO, FL 32808-1917

Owner: JEAN-PIERRE, MARYSE

Phone: (407) 913-1969

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/16/2017

License #6906651 LACY, ROSALYN1233 DUNBROOKE STWINTER GARDEN, FL 34787-4859

Owner: LACY, ROSALYN

Phone: (407) 287-7149

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/25/2017

License #6906513 LOVE, LURINE5520 RIDGEWAY DRORLANDO, FL 32819-7435

Owner: LOVE, LURINE A

Phone: (407) 352-5540

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/1/2017

License #6906677 LUBIN, OMANE7343 BORDWINE DRORLANDO, FL 32818-3062

Owner: LUBIN, OMANE

Phone: (407) 532-5114

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/15/2018

License #6906445 MAYES, VICKY7927 HAWK CREST LNORLANDO, FL 32818-1230

Owner: MAYES, VICKY

Phone: (407) 416-2057

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/19/2016

License #6906391 MERINO, DAYSI1510 DINGENS AVEWINDERMERE, FL 34786-8000

Owner: MERINO, DAYSI M

Phone: (407) 295-8872

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/4/2018

License #6906790 MILARD, CHRISLINE2653 ALCLOBE CIRCLEOCOEE, FL 34761

Owner: MILARD, CHRISLINE

Phone: (407) 879-3996

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/13/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 21

License #6906686 MILLER, MARCIA748 MELLOWOOD AVEORLANDO, FL 32825-8077

Owner: MILLER, MARCIA MARIE

Phone: (407) 219-4283

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/2/2018

License #6906709 PIERRE, MARIE546 BOHANNON BLVDORLANDO, FL 32824-5905

Owner: PIERRE, MARIE MARTHE

Phone: (407) 454-3158

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/8/2016

License #6905794 PONCE-BERENATO, CARMEN7224 JAFFERY CTORLANDO, FL 32835-6158

Owner: PONCE-BERENATO, CARMEN E

Phone: (407) 822-5330

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/20/2017

License #6906649 RENE, PAUL ANDRE & MONA-LISSA651 REGINA CIROAKLAND, FL 34787-8962

Owner: RENE, PAUL ANDRE

Phone: (321) 662-0040

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/17/2017

License #6906854 ROBBINS-PAGEL, CAROLYNE520 FIRST CAPE CORAL DRWINTER GARDEN, FL 34787

Owner: ROBBINS-PAGEL, CAROLYNE

Phone: (386) 337-4486

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/9/2018

License #6906462 SANTOS, MIRTHA D3220 CHADWICK ROADAPOPKA, FL 32703

Owner: SANTOS, MIRTHA D

Phone: (407) 862-9202

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/27/2017

License #6906521 SCOTT, VINNETTE1717 HIALEAH STORLANDO, FL 32808-6023

Owner: SCOTT, VINNETTE

Phone: (407) 412-6007

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/16/2018

License #6906857 SINGH, RESHMA2755 GRAPEVINE CRESTOCOEE, FL 34761

Owner: SINGH, RESHMA

Phone: (407) 491-5727

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/17/2018

License #6906125 SOUVERAIN, ROSE M404 TRANQUILLE OAKS DROCOEE, FL 34761-1402

Owner: SOUVERAIN, ROSE MAGALIE

Phone: (321) 460-4138

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/14/2017

License #6906753 WOOLRIDGE, THELMA2523 LESTON CTORLANDO, FL 32817

Owner: WOOLRIDGE, THELMA

Phone: (407) 678-1251

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/9/2017

COUNTY: OSCEOLA Facilities = 2 Slots = 9

License #6906871 PEYTON, SHARON5372 DAHLIA RESERVE DRKISSIMMEE, FL 34758

Owner: PEYTON, SHARON

Phone: (740) 248-3849

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/11/2018

License #6906645 WILSON, MARSHA4170 MUTTER RDSAINT CLOUD, FL 34769-6836

Owner: WILSON, MARSHA A

Phone: (407) 970-3909

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/17/2017

COUNTY: SEMINOLE Facilities = 4 Slots = 19

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 22

License #6905499 ALLEYNE, KAY3910 WOODGLADE CVWINTER PARK, FL 32792-6317

Owner: ALLEYNE, KAY

Phone: (407) 657-2884

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/3/2018

License #6906719 HARRY, JAMIE M995 TUSKAWILLA RDWINTER SPGS, FL 32708-4401

Owner: HARRY, JAMIE

Phone: (407) 637-2159

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2016

License #6905044 MEADE, TENNYSON A.1310 S PARK AVESANFORD, FL 32771-3464

Owner: MEADE, TENNYSON A

Phone: (407) 322-4317

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/23/2017

License #6906510 RAZA, TAJ2825 WALDEN POND COVELONGWOOD, FL 32779

Owner: RAZA, TAJ

Phone: (407) 756-2595

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/19/2017

FIELD OFFICE CODE: 08 Slots = 246Facilities = 54

COUNTY: CHARLOTTE Facilities = 16 Slots = 71

License #3 BAIRD, PHYLLIS284 COMSTOCK STPT CHARLOTTE, FL 33954-3627

Owner: BAIRD, PHYLLIS

Phone: (941) 743-0778

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/22/2018

License #6905514 CHERY, MARY A.1048 RENOIR STPT CHARLOTTE, FL 33952-1762

Owner: CHERY, MARY ALICE

Phone: (941) 629-9570

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/26/2018

License #6906813 EDMOND, MACHADO1418 ULTRAMARINE LNPUNTA GORDA, FL 33983

Owner: EDMOND, MACHADO

Phone: (941) 467-9232

Nbr Slots: 3Lic Type: STANDARDExpiry: 9/27/2017

License #6906484 HARRISON, SPLIDDIE23529 QUASAR BLVDPT CHARLOTTE, FL 33980-3120

Owner: HARRISON, SPLIDDIE

Phone: (941) 235-0563

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/19/2017

License #6906749 HENDRICKS, RAYMOND1306 ANNETTE STPORT CHARLOTTE, FL 33980

Owner: HENDRICKS, RAYMOND

Phone: (941) 875-0139

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/24/2017

License #6906517 LUCKRAM, RAJCOMARIE3166 MARINE TERPUNTA GORDA, FL 33983-3422

Owner: LUCKRAM, RAJCOMARIE

Phone: (941) 743-6276

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/1/2017

License #6906285 MOORE, IVY FLO23145 GRAY AVEPT CHARLOTTE, FL 33980-8587

Owner: MOORE, IVY FLO

Phone: (941) 627-5983

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/20/2016

License #6906576 NELSON, EDDISON1292 DORCHESTER STPT CHARLOTTE, FL 33952-2512

Owner: NELSON, EDDISON MARK SR

Phone: (941) 627-6461

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/28/2016

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 23

License #6905365 NELSON, SHARON MARCIA21459 SEATON AVEPT CHARLOTTE, FL 33954-3251

Owner: NELSON, SHARON

Phone: (941) 255-8260

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/23/2017

License #6905972 PARKES, ROSYLIN23442 GARRETT AVEPORT CHARLOTTE, FL 33954

Owner: PARKES, ROSYLIN

Phone: (941) 391-6502

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/26/2017

License #6906395 PASCAL, APOLD382 POSADAS CIRPUNTA GORDA, FL 33983-5848

Owner: PASCAL, APOLD

Phone: (941) 629-8577

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2018

License #6906782 PATTON, ROSEMARIE1571 BEACON DRIVEPORT CHARLOTTE, FL 33952

Owner: PATTON, ROSEMARIE

Phone: (941) 764-0841

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2017

License #6906321 SEALY, LESA NORIEGA15 MADRE DE DIOS STPUNTA GORDA, FL 33983-4254

Owner: SEALY, LESA NORIEGA

Phone: (941) 629-4934

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/23/2017

License #6906738 SMITH, CLEMENT20236 PEACHLAND BLVDPORT CHARLOTTE, FL 33954

Owner: SMITH, CLEMENT GUSTAVOUS

Phone: (941) 764-7461

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/12/2017

License #6906844 STANY, WOOFKINS23143 HEMENWAY AVEPORT CHARLOTTE, FL 33980

Owner: STANY, WOOFKINS

Phone: (941) 286-3150

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/17/2018

License #6906610 THOMAS, ANNETTE ANGELA18520 SATSUMA AVEPT CHARLOTTE, FL 33948-7520

Owner: THOMAS, ANNETTE ANGELA

Phone: (941) 625-8264

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017

COUNTY: COLLIER Facilities = 5 Slots = 20

License #6906348 COKE, ALVAN ST AUBYN3620 64TH AVE NENAPLES, FL 34120-2618

Owner: COKE, ALVIN ST AUBYN

Phone: (239) 348-9928

Nbr Slots: 3Lic Type: STANDARDExpiry: 7/9/2017

License #6906807 ISME, SIMELANT5218 BROWARD STNAPLES, FL 34119

Owner: ISME, SIMELANT

Phone: (239) 331-3541

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/8/2017

License #6906637 ROCA, MIRTA5364 18TH CT SWNAPLES, FL 34116-5626

Owner: ROCA, MIRTA

Phone: (239) 293-7432

Nbr Slots: 4Lic Type: STANDARDExpiry: 10/6/2017

License #6906632 SMITH, LOUISE360 37TH AVE NENAPLES, FL 34120-4360

Owner: SMITH, LOUISE

Phone: (239) 352-1086

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/2/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 24

License #6906467 WEATHERSPOON, MELANIE1714 52ND TER SWNAPLES, FL 34116-5652

Owner: WHEATHERSPOON, MELANIE

Phone: (239) 352-6629

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/31/2017

COUNTY: LEE Facilities = 23 Slots = 107

License #6906873 ALHADDAD, BUTHAINA AHMAD209 EAGLESMERE DRLEHIGH ACRES, FL 33936

Owner: ALHADDAD, BUTHANINA

Phone: (239) 940-4080

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/11/2018

License #6906615 CASTELLO, VENESAR744 ONTARIO AVE SLEHIGH ACRES, FL 33974-0569

Owner: CASTELLO, VENESAR ROSE

Phone: (239) 878-3506

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/23/2017

License #6906393 CHRISTMAS, WILLIE16691 1ST STALVA, FL 33920-4119

Owner: CHRISTMAS, WILLIE LEE

Phone: (239) 728-3998

Nbr Slots: 3Lic Type: STANDARDExpiry: 1/18/2018

License #6906581 DESMORNES, JOSEPH2621 SW 37TH TERCAPE CORAL, FL 33914-4888

Owner: DESMORNES, JOSEPH

Phone: (239) 204-6373

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/14/2016

License #6906497 DOUGLAS, CHERYL919 COMMODORE STLEHIGH ACRES, FL 33974-4550

Owner: DOUGLAS, CHERYL L

Phone: (239) 707-4488

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/30/2017

License #6906763 EASTMOND, JULIANNE4504 LEE BLVDLEHIGH ACRES, FL 33971

Owner: EASTMOND, JULIANNE MARILYN

Phone: (239) 368-3201

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/20/2017

License #6906816 GREY, DELMA1001 CLAYTON AVELEHIGH ACRES, FL 33972

Owner: GREY, DELMA J

Phone: (386) 848-4854

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/5/2017

License #6905152 HOWELL, KEVIN LORNE6410 P G A DRN FT MYERS, FL 33917-3295

Owner: HOWELL, KEVIN LORNE

Phone: (239) 731-9007

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/3/2018

License #6905492 HUNT, CAROLYN LORRAINE205 SE 20TH CTCAPE CORAL, FL 33990-2747

Owner: HUNT, CAROLYN LORRAINE

Phone: (239) 574-8994

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/9/2018

License #6906774 JEAN-BAPTISTE, JEAN HONEL4106 7 ST SWLEHIGH ACRES, FL 33976

Owner: JEAN-BAPTISTE, JEAN HONEL

Phone: (239) 245-2606

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/20/2017

License #6905999 KETTLE, NADINE ANN ORINTHEA317 PENNFIELD AVELEHIGH ACRES, FL 33974-9495

Owner: SINGH, NADINE ANN ORINTHEA

Phone: (239) 645-2686

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/30/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 25

License #6905039 LEWIS, SOPHIE MAE1774 VERONICA SHOEMAKER BLVD.FORT MYERS, FL 33916

Owner: LEWIS, SOPHIE M

Phone: (239) 332-4176

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/27/2017

License #6906737 MOORE, LUZ A4303 NW 40TH STCAPE CORAL, FL 33993

Owner: MOORE, LUZ

Phone: (239) 282-9580

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/12/2017

License #6906012 ORIA, ESTELA V1439 SE 15TH STCAPE CORAL, FL 33990-3773

Owner: ORIA, ESTELA V

Phone: (239) 574-1425

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/31/2017

License #6906870 REECE, CARLISLE2324 SE 5 CTCAPE CORAL, FL 33990

Owner: REECE, CARLISLE

Phone: (239) 800-3143

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/7/2018

License #6905982 RUSSELL, MEGZIE YVONNE1902 E 6TH STLEHIGH ACRES, FL 33936-1006

Owner: RUSSELL, MEGZIE Y

Phone: (239) 368-9538

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/30/2017

License #6906611 SABINO, VIRGINIA ZETA-DELEON212 SE 21ST STCAPE CORAL, FL 33990-4359

Owner: SABINO, VIRGINIA Z

Phone: (239) 573-0086

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/6/2017

License #6906716 SAINT-LOUIS, ALIDA412 MURIEL STLEHIGH ACRES, FL 33972-1040

Owner: SAINT-LOUIS, ALIDA

Phone: (239) 200-9111

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/9/2016

License #6906730 SCOTT, SHARLENE2811 2ND ST SWLEHIGH ACRES, FL 33976

Owner: SCOTT, SHARLENE

Phone: (239) 470-8035

Nbr Slots: 4Lic Type: STANDARDExpiry: 12/9/2016

License #6906099 SINGH, BAGWANDAI2103 HANCOCK BRIDGE PKWYCAPE CORAL, FL 33990-1481

Owner: SINGH, BAGWANDAI

Phone: (239) 574-6493

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/4/2017

License #6905782 TOPIC, WALTER4231 ERINDALE DRFORT MYERS, FL 33903-5029

Owner: TOPIC, WALTER

Phone: (239) 656-0019

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/4/2017

License #6906808 TORRES, CATALINA2607 NE 22ND AVECAPE CORAL, FL 33909

Owner: TORRES, CATALINA

Phone: (954) 559-2703

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/8/2017

License #6906831 WILLIAMS, CHARMAINE420 PUTNAM AVELEHIGH ACRES, FL 33974

Owner: WILLIAMS, CHARMAINE A

Phone: (239) 789-8406

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/6/2017

COUNTY: SARASOTA Facilities = 10 Slots = 48

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 26

License #6905482 ANGLES, LUIS M5413 HAYDEN BLVDSARASOTA, FL 34232-5735

Owner: ANGLES, LUIS MARIO

Phone: (941) 378-4317

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/11/2017

License #6906701 CHAMBERS, AMANDA4817 ITALY AVENORTH PORT, FL 34288-8103

Owner: CHAMBERS, AMANDA CHANTEL

Phone: (941) 564-6938

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/16/2018

License #6906453 CHAMBERS, ROSEMARIE2225 NAMIOT CIRNORTH PORT, FL 34288-5880

Owner: CHAMBERS, ROSEMARIE

Phone: (941) 451-3912

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2016

License #6906115 CHERRY, NADINE2565 PARMA STSARASOTA, FL 34231-5127

Owner: CHERRY, NADINE CAROLYN

Phone: (941) 926-2897

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/10/2017

License #6906057 HALEY, SYLVIA7501 LYNCREST STNORTH PORT, FL 34287-5535

Owner: HALEY, SYLVIA V

Phone: (941) 423-9836

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/20/2016

License #6905687 LEWIS, CAROL A12101 RONDA LNNORTH PORT, FL 34287-1468

Owner: LEWIS, CAROL ALTHEA

Phone: (941) 426-7707

Nbr Slots: 4Lic Type: STANDARDExpiry: 11/3/2017

License #6906791 MILLER, LINDA5040 VASSAR RDVENICE, FL 34293

Owner: MILLER, LINDA C

Phone: (941) 493-5706

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/14/2017

License #6906508 POWELL, YVONNE3656 LOG CABIN RDNORTH PORT, FL 34291-7083

Owner: POWELL, YVONNE JOY

Phone: (954) 536-6790

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/22/2017

License #6905634 VECCHIO, FRANK & OFELIA211 GINGER RDVENICE, FL 34293-1521

Owner: VECCHIO, FRANK

Phone: (941) 408-7283

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/5/2017

License #6906344 WALTON, JEANNE ELIZABETH740 CRESTWOOD RDENGLEWOOD, FL 34223-3902

Owner: WALTON, JEANNE ELIZABETH

Phone: (941) 460-1807

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/30/2017

FIELD OFFICE CODE: 09 Slots = 156Facilities = 35

COUNTY: PALM BEACH Facilities = 21 Slots = 93

License #6906881 ALEXIS, MARIE T17797 30TH LANE NLOXAHATCHEE, FL 33470

Owner: ALEXIS, MARIE T

Phone: (561) 386-6365

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/12/2018

License #6906785 AUGUSTE, JONAS1337 PINETTA CIRWELLINGTON, FL 33414

Owner: AUGUSTE, JONAS

Phone: (561) 422-7059

Nbr Slots: 4Lic Type: STANDARDExpiry: 6/21/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 27

License #6906661 BELL, JANICE1564 W 30TH STRIVIERA BEACH, FL 33404

Owner: BELL, JANICE SHEREE

Phone: (561) 444-3059

Nbr Slots: 4Lic Type: STANDARDExpiry: 2/19/2018

License #6906876 BERNARD, MARIE1451 NW 4TH STBOYNTON BEACH, FL 33435

Owner: BERNARD, MARIE

Phone: (561) 358-8084

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/8/2018

License #6905820 BINNS, VALRIE2646 YARMOUTH DRWELLINGTON, FL 33414-7649

Owner: BINNS, VALRIE

Phone: (561) 422-8120

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/29/2017

License #6906527 BLACK, KIMBERLY3794 VICTORIA RDWEST PALM BCH, FL 33411-6440

Owner: BLACK, KIMBERLY

Phone: (561) 629-5067

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/31/2018

License #6906680 DAVIS, MARGARET2313 Z TERRIVIERA BEACH, FL 33404-1803

Owner: DAVIS, MARGARET ELIZABETH

Phone: (561) 863-9517

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/15/2018

License #6906722 DENNIS, MERDEL15163 82ND LN NLOXAHATCHEE, FL 33470-4334

Owner: DENNIS, MERDEL IONA

Phone: (561) 282-7974

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/28/2016

License #6906797 DOUGLAS, LYNROD116 MONTEREY WAYROYAL PALM BEACH, FL 33411

Owner: DOUGLAS, LYNROD

Phone: (561) 247-9069

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/30/2017

License #6906798 DUNKLEY, BASIL C1637 44 STWEST PALM BEACH, FL 33407

Owner: DUNKLEY, BASIL C

Phone: (561) 784-8141

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/2/2017

License #6906739 DUNN, VIVILYN411 W 30TH STRIVIERA BEACH, FL 33404

Owner: DUNN, VIVLYN SALOME

Phone: (561) 229-7000

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/13/2017

License #6906675 EMILCAR, MAGALIE103 W OCEAN DRBOYNTON BEACH, FL 33426-4338

Owner: EMILCAR, MAGALIE OLISTIN

Phone: (561) 572-7051

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/6/2018

License #6906766 GRAY, ANNETTE3624 AVE DE GIENDELRAY BEACH, FL 33445

Owner: GRAY, ANNETTE

Phone: (561) 441-4145

Nbr Slots: 3Lic Type: STANDARDExpiry: 4/27/2017

License #6905994 GUISHARD, JACQUELINE608 S LOIS CTWEST PALM BCH, FL 33413-3459

Owner: GUISHARD, JACQUELINE

Phone: (561) 687-8828

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/11/2018

License #6906526 JACOBS, ALLISON S9530 HALL BLVDWEST PALM BEACH, FL 33412

Owner: JACOBS, ALLISON

Phone: (561) 791-0628

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/30/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 28

License #6906811 JEAN DENIS, DUVENSON2722 OKLAHOMA STWEST PALM BEACH, FL 33406

Owner: JEAN-DENIS, DUVENSON

Phone: (619) 732-2376

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/16/2017

License #6905710 JOSEY, SHIRLEY7324 WILLOW SPRINGS CIR WBOYNTON BEACH, FL 33436-9420

Owner: JOSEY, SHIRLEY AUDREY

Phone: (561) 649-6227

Nbr Slots: 3Lic Type: STANDARDExpiry: 1/25/2016

License #6906771 LEWIS, FAY7375 S WILLOW SPRING CIRBOYNTON BEACH, FL 33436

Owner: LEWIS, FAY

Phone: (561) 434-7068

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/13/2017

License #6906792 SAINT JUSTE, LEVIE14600 77TH PL NLOXAHATCHEE, FL 33470

Owner: SAINT-JUSTE, LEVIE

Phone: (561) 906-9855

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/16/2017

License #6906718 TATE, LEONIE198 DOVE CIRROYAL PLM BCH, FL 33411-1705

Owner: TATE, LEONIE ALVIRA

Phone: (561) 312-7571

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/16/2016

License #6906486 WILLIAMS, KARLENE16931 70TH ST NLOXAHATCHEE, FL 33470-3359

Owner: WILLIAMS, KARLENE

Phone: (561) 574-1257

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2017

COUNTY: ST. LUCIE Facilities = 14 Slots = 63

License #6906081 ANTOINE, FRANCOISE1342 SW DEL RIO BLVDPORT ST LUCIE, FL 34953-1439

Owner: ANTOINE, FRANCOISE

Phone: (772) 873-3272

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/15/2017

License #6906322 CAMPBELL, BEVERLY SMITH2808 S 10TH STFORT PIERCE, FL 34982

Owner: CAMPBELL, BEVERLY SMITH

Phone: (772) 242-1282

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/28/2017

License #6906704 COTIN-VALCIN, CHARITE238 NW FERRIS DRPORT ST LUCIE, FL 34983-1121

Owner: VALCIN-COTIN, CHARITE R

Phone: (772) 985-4122

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/23/2016

License #6906491 CUNNINGHAM, MONICA2366 SW WEBSTER LNPORT ST LUCIE, FL 34953-5751

Owner: CUNNINGHAM, MONICA

Phone: (772) 336-8441

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/9/2017

License #6906820 FLEURISMA,GERARDA578 NW PLACID AVEPORT SAINT LUCIE, FL 34983

Owner: FLEURISMA, GERARDA

Phone: (772) 940-2167

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/21/2017

License #6906864 HILAIRE, EDOUARD SAINT298 SW CARTER AVEPORT SAINT LUCIE, FL 34983

Owner: HILAIRE, EDOUARD SAINT

Phone: (772) 301-1132

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/9/2018

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 29

License #6906464 HINSON, MAVIS600 S 10TH STFORT PIERCE, FL 34950

Owner: HINSON, MAVIS

Phone: (772) 460-8498

Nbr Slots: 3Lic Type: STANDARDExpiry: 3/1/2017

License #6906799 JOSEPH, MARIE MARTHE1737 S W BRADWAY LNPORT SAINT LUCIE, FL 34953

Owner: JOSEPH, MARIE M

Phone: (561) 541-4667

Nbr Slots: 4Lic Type: STANDARDExpiry: 8/18/2017

License #6906819 LABATTE,CLAIRE281 SW BEDFORD RDPORT SAINT LUCIE, FL 34953

Owner: LABATTE, CLAIRE

Phone: (772) 207-0280

Nbr Slots: 4Lic Type: STANDARDExpiry: 10/20/2017

License #6905990 PETERSON, MYRTLE MERINA120 MAPLE AVEFORT PIERCE, FL 34982-3431

Owner: PETERSON, MYRTLE MERINA

Phone: (772) 672-1181

Nbr Slots: 5Lic Type: STANDARDExpiry: 4/26/2017

License #6906485 PREDDIE , DENESE1066 SW CAIRO AVEPORT ST LUCIE, FL 34953-3213

Owner: PREDDIE, DENESE

Phone: (772) 777-4535

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/19/2017

License #6906759 SALIEN, JEAN MARIE6817 NW GRANGER AVEPORT SAINT LUCIE, FL 34983

Owner: SALIEN, JEAN MARIE

Phone: (772) 812-1499

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/31/2017

License #6906751 SMITH, MARIA5809 NW FALL FLOWER CTPORT SAINT LUCIE, FL 34986

Owner: SMITH, MARIA

Phone: (772) 766-3033

Nbr Slots: 3Lic Type: STANDARDExpiry: 3/3/2017

License #6906735 TURENNE, WILNIQUE4435 SW MASEFIELD STPORT SAINT LUCIE, FL 34953

Owner: TURENNE, WILNIQUE

Phone: (954) 934-5852

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/6/2017

FIELD OFFICE CODE: 10 Slots = 120Facilities = 26

COUNTY: BROWARD Facilities = 26 Slots = 120

License #6905577 BLAKE, TERVIL211 KANSAS AVEFT LAUDERDALE, FL 33312-1862

Owner: BLAKE, TERVIL

Phone: (954) 791-3289

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/18/2017

License #6906717 BROWNING, TERRYLYN11373 SW 17TH CTMIRAMAR, FL 33025

Owner: BROWNING, TERRYLYN

Phone: (954) 540-3361

Nbr Slots: 4Lic Type: STANDARDExpiry: 10/15/2016

License #6906326 CAMPBELL, ANNMARIE320 PENNSYLVANIA AVEFORT LAUDERDALE, FL 33312

Owner: CAMPBELL, ANNMARIE

Phone: (954) 327-3380

Nbr Slots: 4Lic Type: STANDARDExpiry: 4/29/2019

License #6905688 CLARKE, CLAUDETTE6150 SOUTH GATE BLVDMARGATE, FL 33068

Owner: CLARKE, CLAUDETTE

Phone: (954) 973-4010

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/11/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 30

License #6906841 DEVELIS, LOUNA7913 SW 3RD STNORTH LAUDERDALE, FL 33068

Owner: DEVELIS, LOUNA

Phone: (854) 515-2104

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/9/2018

License #6906822 FACEY, DEBRA5001 NW 41ST STLAUDERDALE LAKES, FL 33319

Owner: FACEY, DEBRA

Phone: (954) 601-7340

Nbr Slots: 3Lic Type: STANDARDExpiry: 10/27/2017

License #6906824 GIBBS, MILLICENT3410 NW 8TH STLAUDERHILL, FL 33311

Owner: GIBBS, MILLICENT

Phone: (954) 865-3382

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/29/2017

License #6906597 GREEN, JENNEPHA5532 NW 39TH AVECOCONUT CREEK, FL 33073

Owner: GREEN, JENNEPHA MAY

Phone: (754) 245-0179

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/6/2017

License #6905590 HANSON, MARTHA851 NANDINA DRWESTON, FL 33327-2408

Owner: HANSON, MARTHA VICTORIA

Phone: (954) 217-8667

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/22/2017

License #6906714 JUMPP, HALEY221 N 46TH AVEHOLLYWOOD, FL 33021

Owner: JUMPP, HAYLEY

Phone: (954) 967-8428

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/2/2016

License #6906742 PAYNE, JESSIE1930 NE 1ST TERRPOMPANO BEACH, FL 33060

Owner: PAYNE, JESSIE MAE

Phone: (954) 943-8590

Nbr Slots: 4Lic Type: STANDARDExpiry: 1/19/2017

License #6905826 PEREZ, YOSVANY3521 SW 38TH STWEST PARK, FL 33023-6356

Owner: PEREZ, YOSVANY

Phone: (954) 893-6093

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/19/2017

License #6906166 RAPHAEL, CHRISTIANA18574 SW 55TH STMIRAMAR, FL 33029-6294

Owner: RAPHAEL, CHRISTIANA

Phone: (954) 704-3940

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/2/2017

License #6905897 RHODEN, DAPHNEY430 SW 30TH AVEFT LAUDERDALE, FL 33312-2013

Owner: RHODEN, DAPHNEY

Phone: (754) 246-6200

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/28/2017

License #6906711 RICHARDSON, CLERMELINE1708 SW 11TH CTFT LAUDERDALE, FL 33312-3266

Owner: RICHARDSON, CLERMELINE

Phone: (305) 332-4057

Nbr Slots: 4Lic Type: STANDARDExpiry: 9/9/2016

License #6905834 SCHMIEL-DEGAMA, URSULA11900 NW 35TH STREETSUNRISE, FL 33323

Owner: SCHMIEL-DEGAMA, URSULA

Phone: (954) 746-2544

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/24/2017

License #6906133 SKYERS, DAPHNIE15954 SW 15TH STPEMBROKE PNES, FL 33027-5056

Owner: SKYERS, DAPHNIE

Phone: (954) 430-5672

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/4/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 31

License #6905503 SPEARS, MOSES LEE GILBERT5131 NW 87TH AVENUELAUDERHILL, FL 33351

Owner: SPEARS, MOSES LEE

Phone: (954) 237-3392

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/18/2017

License #6906874 THEOPHIN, ROSANA4561 NW 10TH AVEFORT LAUDERDALE, FL 33309

Owner: THEOPHIN, ROSANA

Phone: (754) 206-4574

Nbr Slots: 4Lic Type: STANDARDExpiry: 7/14/2018

License #6905810 THOMPSON, DIANA7464 NW 16TH STPLANTATION, FL 33313-5112

Owner: THOMPSON, DIANA

Phone: (954) 316-9313

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/4/2017

License #6906744 TULLOCH, DAKARAI1515 NW 109TH TERCORAL SPRINGS, FL 33071

Owner: TULLOCH, DAKARAI

Phone: (754) 229-8733

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/12/2017

License #6905847 TULLOCH, DIONNE R.5101 NW 47TH AVECOCONUT CREEK, FL 33073

Owner: TULLOCH, DIONNE R

Phone: (954) 428-0241

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/16/2017

License #6905881 TURNER, DOREEN7520 HARBOUR BLVDMIRAMAR, FL 33023-6564

Owner: TURNER, DOREEN A

Phone: (954) 709-7349

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/14/2017

License #6905718 WALLACE, SHEROL A.4936 HARRISON STHOLLYWOOD, FL 33021-7209

Owner: WALLACE, SHEROL

Phone: (954) 961-2763

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/10/2017

License #6905729 WILLIAMS, MAVIS7320 NEPTUNE STMIRAMAR, FL 33023

Owner: WILLIAMS, MAVIS

Phone: (954) 964-7079

Nbr Slots: 4Lic Type: STANDARDExpiry: 3/18/2017

License #6906768 WOODS, LORRIS E1330 NW 15TH TERRACEFORT LAUDERDALE, FL 33311

Owner: WOODS, LORRIS E

Phone: (954) 306-6730

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/10/2017

FIELD OFFICE CODE: 11 Slots = 69Facilities = 14

COUNTY: MIAMI-DADE Facilities = 14 Slots = 69

License #6905352 BANNISTER, MICHAEL14636 SW 95TH LNMIAMI, FL 33186-1040

Owner: BANNISTER, MICHAEL

Phone: (305) 984-8312

Nbr Slots: 5Lic Type: STANDARDExpiry: 6/11/2018

License #6906879 BARTHELUS, CLAUDENE1415 NE 200TH STMIAMI, FL 33179

Owner: BARTHELUS, CLAUDENE

Phone: (786) 262-2349

Nbr Slots: 5Lic Type: STANDARDExpiry: 8/30/2018

License #6906511 DESSALINES, MARIE18539 SW 133RD AVEMIAMI, FL 33177-4206

Owner: DESSALINES, MARIE LANDSY

Phone: (305) 484-7057

Nbr Slots: 5Lic Type: STANDARDExpiry: 10/26/2017

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ADULT FAMILY CARE HOME DIRECTORYActive Facilities = 387 Total Slots = 1,754

Date: 9/26/2016

Report: Z:\HQA_LICENSURE\AssistedLivingUnit\AFCH_Directory_Expiry.imrCatalog: Z:\HQA_LICENSURE\HQA_LICENSURE_DM.CAT

Page 32

License #6906456 GOMEZ, MARITZA13370 SW 82ND STMIAMI, FL 33183-4123

Owner: GOMEZ, MARITZA

Phone: (786) 587-9060

Nbr Slots: 5Lic Type: STANDARDExpiry: 1/5/2017

License #6906869 HENRY, NADRA16220 NW 18TH PLMIAMI GARDENS, FL 33054

Owner: HENRY, NADRA MICHELLE

Phone: (305) 454-2854

Nbr Slots: 5Lic Type: STANDARDExpiry: 7/7/2018

License #6906681 LAZARE, GINETTE15551 NE 12TH AVEN MIAMI BEACH, FL 33162-5501

Owner: LAZARE, GINETTE

Phone: (786) 262-2592

Nbr Slots: 5Lic Type: STANDARDExpiry: 5/15/2018

License #6905135 LEON, TERESITA C.4840 SW 89TH PLMIAMI, FL 33165-6600

Owner: LEON, TERESITA C

Phone: (305) 279-9196

Nbr Slots: 5Lic Type: STANDARDExpiry: 3/8/2017

License #6905592 MCINTOSH, MOLLY ANNE22750 SW 194 AVEMIAMI, FL 33170

Owner: MCINTOSH, MOLLY ANNE

Phone: (786) 243-2425

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/2/2017

License #6905101 MOORE, DOROTHY2961 NW 210TH TEROPA LOCKA, FL 33056-1452

Owner: MOORE, DOROTHY NELL

Phone: (305) 624-5778

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/25/2017

License #6905574 MOSELEY, KATHERINE7805 SW 179TH TERPALMETTO BAY, FL 33157-6212

Owner: MOSELEY, KATHERINE LOUISE

Phone: (305) 233-4143

Nbr Slots: 5Lic Type: STANDARDExpiry: 11/3/2017

License #6905597 MULTIMORE, JAMES571 NW 152ND STMIAMI, FL 33169-6615

Owner: MULTIMORE, JAMES

Phone: (305) 456-5913

Nbr Slots: 5Lic Type: STANDARDExpiry: 2/13/2017

License #6905699 PEREZ, GRICELL B.9860 SW 32 STREETMIAMI, FL 33165

Owner: PEREZ, GRICELL

Phone: (305) 551-5887

Nbr Slots: 5Lic Type: STANDARDExpiry: 12/1/2017

License #6905755 ROY, MONIQUE & JEAN170 NE 163RD STMIAMI, FL 33162-3430

Owner: ROY, JEAN

Phone: (305) 356-6384

Nbr Slots: 4Lic Type: STANDARDExpiry: 5/16/2017

License #6906806 SUIT, MARILINE960 NE 136 STMIAMI, FL 33161

Owner: SUIT, MARILINE

Phone: (786) 290-7004

Nbr Slots: 5Lic Type: STANDARDExpiry: 9/2/2017