| Duns | 15000677 |
| Cage Code | 3SAK3 |
| Sam Extract Code | A |
| Purpose Of Registration | Z2 |
| Initial Registration Date | 2004-03-11 |
| Expiration Date | 2021-02-02 |
| Last Update Date | 2020-02-03 |
| Activation Date | 2020-02-03 |
| Legal Business Name | BRANDYWINE CONVALESCENT CENTER INC |
| Dba Name | BRANDYWYNE HEALTHCARE CENTER |
| Physical Address Line 1 | 1801 NORTH LAKE MARIAM DR |
| Physical Address City | WINTER HAVEN |
| Physical Address Province Or State | FL |
| Physical Address Zippostal Code | 33884 |
| Physical Address Zip Code 4 | 927 |
| Physical Address Country Code | USA |
| Entity Congressional District | 17 |
| Business Start Date | 2000-08-01 |
| Fiscal Year End Close Date | 1231 |
| Entity Structure | 2L |
| State Of Incorporation | FL |
| Country Of Incorporation | USA |
| Business Type Counter | 1 |
| Business Type Varchar | 2X |
| Primary Naics | 623110 |
| Naics Code Counter | 1 |
| Naics Code Varchar | 623110Y |
| Credit Card Usage | Y |
| Mailing Address Line 1 | 1801 NORTH LAKE MARIAM DR |
| Mailing Address City | WINTER HAVEN |
| Mailing Address Zippostal Code | 33884 |
| Mailing Address Zip Code 4 | 927 |
| Mailing Address Country | USA |
| Mailing Address State Or Province | FL |
| Govt Bus Poc First Name | KAY |
| Govt Bus Poc Last Name | MALEY |
| Govt Bus Poc St Add 1 | 1801 N0RTH LAKE MARIAM DRIVE |
| Govt Bus Poc City | WINTER HAVEN |
| Govt Bus Poc Zippostal Code | 33884 |
| Govt Bus Poc Zip Code 4 | 927 |
| Govt Bus Poc Country Code | USA |
| Govt Bus Poc State Or Province | FL |
| Govt Bus Poc Us Phone | 2147483647 |
| Govt Bus Poc Fax Us Only | 8632996427 |
| Govt Bus Poc Email | [email protected] |
| Alt Govt Bus Poc First Name | TERRI |
| Alt Govt Bus Poc Last Name | CULVAHOUSE |
| Alt Govt Bus Poc St Add 1 | 1801 NORTH LAKE MARIAM DRIVE |
| Alt Govt Bus Poc City | WINTER HAVEN |
| Alt Govt Bus Poc Zippostal Code | 33884 |
| Alt Govt Bus Poc Zip Code 4 | 927 |
| Alt Govt Bus Poc Country Code | USA |
| Alt Govt Bus Poc State Or Province | FL |
| Alt Govt Bus Poc Us Phone | 2147483647 |
| Alt Govt Bus Poc Fax Us Only | 8632996427 |
| Alt Govt Bus Poc Email | [email protected] |
| Past Perf Poc Poc First Name | KEITH |
| Past Perf Poc Poc Last Name | LOMBARDI |
| Past Perf Poc St Add 1 | 1801 NORTH LAKE MARIAM DRIVE |
| Past Perf Poc City | WINTER HAVEN |
| Past Perf Poc Zippostal Code | 33884 |
| Past Perf Poc Zip Code 4 | 927 |
| Past Perf Poc Country Code | USA |
| Past Perf Poc State Or Province | FL |
| Past Perf Poc Us Phone | 2147483647 |
| Past Perf Poc Fax Us Only | 8632996427 |
| Past Perf Poc Email | [email protected] |
| Alt Past Perf Poc First Name | CAROLYN |
| Alt Past Perf Poc Last Name | SMITH |
| Alt Past Perf Poc St Add 1 | 1801 NORTH LAKE MARIAM DRIVE |
| Alt Past Perf Poc City | WINTER HAVEN |
| Alt Past Perf Poc Zippostal Code | 33884 |
| Alt Past Perf Poc Zip Code 4 | 927 |
| Alt Past Perf Poc Country Code | USA |
| Alt Past Perf Poc State Or Province | FL |
| Alt Past Perf Poc Us Phone | 2147483647 |
| Alt Past Perf Poc Fax Us Only | 8632996427 |
| Alt Past Perf Poc Email | [email protected] |
| Elec Bus Poc First Name | KAY |
| Elec Bus Poc Last Name | MALEY |
| Elec Bus Poc Title | ADMINISTRATOR |
| Elec Bus Poc St Add 1 | 1801 NORTH LAKE MARIAM DRIVE |
| Elec Bus Poc City | WINTER HAVEN |
| Elec Bus Poc Zippostal Code | 33884 |
| Elec Bus Poc Zip Code 4 | 927 |
| Elec Bus Poc Country Code | USA |
| Elec Bus Poc State Or Province | FL |
| Elec Bus Poc Us Phone | 2147483647 |
| Elec Bus Poc Fax Us Only | 8632996427 |
| Elec Bus Poc Email | [email protected] |
| Alt Elec Poc Bus Poc First Name | TERRI |
| Alt Elec Poc Bus Poc Last Name | CULVAHOUSE |
| Alt Elec Poc Bus St Add 1 | 1801 NORTH LAKE MARIAM DRIVE |
| Alt Elec Poc Bus City | WINTER HAVEN |
| Alt Elec Poc Bus Zippostal Code | 33884 |
| Alt Elec Poc Bus Zip Code 4 | 927 |
| Alt Elec Poc Bus Country Code | USA |
| Alt Elec Poc Bus State Or Province | FL |
| Alt Elec Poc Bus Us Phone | 2147483647 |
| Alt Elec Poc Bus Fax Us Only | 8632996427 |
| Alt Elec Poc Bus Email | [email protected] |
| Debt Subject To Offset Flag | N |
| End Of Record Indicator | !end |