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HEALTH DELIVERY SERVICES, LLC

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Company Details

Legal Name: HEALTH DELIVERY SERVICES, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 20th 2023
Date of Dissolution: June 3rd 2024
Expiration date: 31 Jan 2024
UBI Number: 605 024 009
ZIP code: 98387
City: Spanaway
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17701 PACIFIC AVE S STE D2, SPANAWAY, WA, 98387-4609, UNITED STATES

Contact Details

E-Mail: SPANAWAYHEALTH@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PRAVEEN ELAMANCHILI Registered Agent 17701 PACIFIC AVE S STE D2, SPANAWAY, WA, 98387-4609, UNITED STATES

Key Officers & Management

Name Role Address
PRAVEEN ELAMANCHILI Executor 17701 PACIFIC AVE S STE D2, SPANAWAY, WA, 98387-4609, UNITED STATES
PRAVEEN ELAMANCHILI Governing Person 17701 PACIFIC AVE S STE D2, SPANAWAY, WA, 98387-4609, UNITED STATES

National Provider Identifier

NPI Number:
1699473272
Certification Date:
2023-02-21

Authorized Person:

Name:
PRAVEEN ELAMANCHILI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

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