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BUENA VISTA AFH LLC

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Company Details

Legal Name: BUENA VISTA AFH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 28th 2020
Expiration date: 31 Dec 2025
UBI Number: 604 689 364
ZIP code: 98002
City: Auburn
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2605 FOREST RIDGE DR SE, AUBURN, WA, 98002-7023, UNITED STATES

Contact Details

E-Mail: BUENAVISTAAFH@GMAIL.COM
Phone Number: +1 206-413-1955

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BENARD KALAMA Registered Agent 2605 FOREST RIDGE DR SE, AUBURN, WA, 98002-7023, UNITED STATES

Key Officers & Management

Name Role Address
PETER MUGURE Executor 37630 165TH AVE SE, AUBURN, WA, 98092-9495, UNITED STATES
BENARD KALAMA Executor 2605 FOREST RIDGE DR SE, AUBURN, WA, 98002-7023, UNITED STATES
BENARD KALAMA Governing Person 2605 FOREST RIDGE DR SE, AUBURN, WA, 98002-7023, UNITED STATES

National Provider Identifier

NPI Number:
1235986845
Certification Date:
2024-05-01

Authorized Person:

Name:
BENARD KALAMA
Role:
ADULT CARE HOME ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

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