{"entity":{"id":12164948,"state":"FL","state_id":"750986","entity_name":"SOUTHLAKE NURSING AND REHABILITATION CENTER, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1980-02-11","filing_year":1980,"business_age_years":46,"principal_address1":"10680 OLD ST AUGUSTINE RD","principal_address2":"","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32257","principal_country":"US","mail_address1":"10680 OLD ST AUGUSTINE RD","mail_address2":"","mail_city":"JACKSONVILLE","mail_state":"FL","mail_zip":"32257","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592754919","jurisdiction":null,"county":null,"last_transaction_date":"09222000","report_year_1":"1999","report_date_1":"04131999","report_year_2":"1999","report_date_2":"04131999","report_year_3":"1998","report_date_3":"12181998","agent_name":"J.E. J Carter","agent_type":"P","agent_address":"10680 OLD ST AUGUSTINE RD","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32257","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 13:45:36","updated_at":"2026-05-09 13:45:36","last_accessed":null,"status_reason":null,"agent_name_raw":"CARTER              J.E.          J"},"officers":[{"name":"Saleem N Abdo","first_name":"Saleem","last_name":"Abdo","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"3202 S. DAMASCUS ROAD","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"ABDO                SALEEM        N"},{"name":"Joe E Cowart","first_name":"Joe","last_name":"Cowart","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"2601 S. PONTE VEDRA BLVD.","city":"PONTE VEDRA BEACH","state":"FL","zip":"32082","name_raw":"COWART              JOE           E"},{"name":"Lester W Jenkins","first_name":"Lester","last_name":"Jenkins","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1507 MONTROSE AVENUE","city":"JACKSONVILLE","state":"FL","zip":"32210","name_raw":"JENKINS             LESTER        W"},{"name":"Sheldon D Wernow","first_name":"Sheldon","last_name":"Wernow","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"9397 SAN JOSE BLVD.","city":"JACKSONVILLE","state":"FL","zip":"32257","name_raw":"WERNOW              SHELDON       D"},{"name":"Manuel F Wise","first_name":"Manuel","last_name":"Wise","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1242 CATALINA ROAD WEST","city":"JACKSONVILLE","state":"FL","zip":"32216","name_raw":"WISE                MANUEL        F"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/750986"}