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COMMUNITY BIRTH CENTER, LLC

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Company Details

Legal Name: COMMUNITY BIRTH CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 17th 2020
Expiration date: 30 Sep 2025
UBI Number: 604 543 633
ZIP code: 98503
City: Lacey
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3663 COLLEGE ST SE STE C, LACEY, WA, 98503-2303, UNITED STATES

Contact Details

E-Mail: COMMUNITYBIRTHCENTER@GMAIL.COM
Phone Number: +1 360-481-0105

Nature of Business

Health Care, Social Assistance & Service Organization, BIRTHING CENTER

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Registered Agent Information

Name Role
COMMUNITY BIRTH CENTER, LLC Registered Agent

Key Officers & Management

Name Role Address
SOTHYRY CHI Executor 3663 COLLEGE ST SE STE C, LACEY, WA, 98503-2303, UNITED STATES
SOTHYRY CHI Governing Person 3663 COLLEGE ST SE STE C, LACEY, WA, 98503-2303, UNITED STATES
JESSICA TOUROUSIAN Governing Person -

National Provider Identifier

NPI Number:
1972260172
Certification Date:
2021-11-22

Authorized Person:

Name:
SOTHYRY CHI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QB0400X - Birthing Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3607642724
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