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GRACE MEDICAL SUPPLY LLC

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Company Details

Legal Name: GRACE MEDICAL SUPPLY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 19th 2019
Date of Dissolution: August 3rd 2023
Expiration date: 31 Mar 2023
UBI Number: 604 419 138
ZIP code: 98840
City: Okanogan
County: OKANOGAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 203 2ND AVE S, SUITE 112, OKANOGAN, WA, 98840, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 202 E BARTLETT AVE, OMAK, WA, 98841-9332, UNITED STATES

Contact Details

E-Mail: JILL@GRACEMEDICALSUPPLY.COM
Phone Number: +1 509-557-6300

Nature of Business

Retail, DURABLE MEDICAL EQUIPMENT SALES

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Registered Agent Information

Name Role Address
JILL SCOTT Registered Agent 203 2ND AVE S, SUITE 112, OKANOGAN, WA, 98840, UNITED STATES

Key Officers & Management

Name Role Address
JILL SCOTT Executor 202 E BARTLETT AVE, C/O GRACE MEDICAL SUPPLY LLC, OMAK, WA, 98841-9332, UNITED STATES
JILL SCOTT Governing Person 202 E BARTLETT AVE, OMAK, WA, 98841-9332, UNITED STATES

National Provider Identifier

NPI Number:
1073257101
Certification Date:
2022-04-10

Authorized Person:

Name:
JILL SCOTT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5095576380
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