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ALLIED PROVIDENCE HOME CARE SERVICES, LLC

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Company Details

Legal Name: ALLIED PROVIDENCE HOME CARE SERVICES, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 20th 2021
Date of Dissolution: December 3rd 2023
Expiration date: 31 Jul 2023
UBI Number: 604 778 785
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7104 27TH ST W STE C, UNIVERSITY PL, WA, 98466-4624, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1015 27TH STREET CT NW, GIG HARBOR, WA, 98335-6810, UNITED STATES

Contact Details

E-Mail: BOBBIJWALKER@YAHOO.COM
Phone Number: +1 253-227-7981

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BOBBI WALKER Registered Agent 7104 27TH ST W STE C, UNIVERSITY PL, WA, 98466-4624, UNITED STATES

Key Officers & Management

Name Role Address
BOBBI WALKER Executor 1015 27TH STREET CT NW, GIG HARBOR, WA, 98335-6810, UNITED STATES
BOBBI WALKER Governing Person 7104 27TH ST W, SUITE C, UNIVERSITY PL, WA, 98466-4624, UNITED STATES
STEPHANIE MEHDIZADEHKASHI Governing Person 7104 27TH ST W, SUITE C, UNIVERSITY PL, WA, 98466-4624, UNITED STATES

National Provider Identifier

NPI Number:
1225601271
Certification Date:
2021-07-19

Authorized Person:

Name:
BOBBI WALKER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

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