CHRYSALLIS WELLNESS CENTER INC


Address: 11932 Fairway Lakes Dr, Fort Myers, FL 33913-8337

(DUNS #117478709) is an entity registered with System for Award Management (SAM). The business start date is March 1, 2020.

Business Overview

DUNS Number 117478709 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 8LF77 (Commercial and Government Entity Code by NATO Codification System)
Company Division CHRYSALLIS WELLNESS CENTER INC
Division Number 01
Entity Structure 2L - Corporate Entity (Not Tax Exempt)
Physical Address 11932 Fairway Lakes Dr
Fort Myers
FL 33913-8337
Mailing Address 9735 Blue Stone Circle
Fort Myers
FL 33913-8337
Business Type 23 - Minority Owned Business
27 - Self Certified Small Disadvantaged Business
2X - For Profit Organization
8E - Economically Disadvantaged Women Small Owned Business
8W - Woman Owned Small Business
A2 - Woman Owned Business
PI - Hispanic American Owned
Primary NAICS Code 621330 - Offices of Mental Health Practitioners (except Physicians)
Product and Service Code (PSC) Q510 (MEDICAL- NEUROLOGY) Healthcare Services
Q519 (MEDICAL- PSYCHIATRY) Healthcare Services
Corporate URL chrysalliswellnesscenter.org
Credit Card Usage N
Debt Subject to Offset N
Disaster Response Registry County -
County -
County -
Metropolitan Service Area -
Metropolitan Service Area -
Metropolitan Service Area -
State -
Incorporation State FL
Congressional District 19
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date March 1, 2020
Registration Date April 8, 2020
Expiration Date June 24, 2021
Update Date June 24, 2020
Activation Date June 24, 2020
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Odeni M Moreno (FCO)
Address 231sw 24th Pl, Cape Coral, FL 33991-1234
Phone Number 2396779839
Email Address [email protected]

Government Business POC

Contact Name & Title Odeni M Moreno (FCO)
Address 231sw 24th Pl, Cape Coral, FL 33991-1234
Phone Number 2396779839
Email Address [email protected]

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New York State Liquor License MADISON PRODUCE CORP 1307 9 MADISON AVE NEW YORK NY 10028
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New York State Liquor License SMILEY BROTHERS INC 1000 MOUNTAIN REST ROAD H/O LAKE MOHONK NEW PALTZ NY 12561
New York State Liquor License LOUDONVILLE WINE AND SPIRITS INC 475 ALBANY SHAKER RD OSBORNE & ALBANY SHAKER RD ALBANY NY 12211

Office Location

Street Address 11932 FAIRWAY LAKES DR
City FORT MYERS
State FL
Zip Code 33913

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City FORT MYERS
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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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