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HEART & SOUL HOUSECALL PROVIDERS, LLC

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Company Details

Legal Name: HEART & SOUL HOUSECALL PROVIDERS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 13th 2012
Date of Dissolution: April 1st 2015
Expiration date: 31 Dec 2014
UBI Number: 603 260 132
ZIP code: 98604
City: Battle Ground
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17809 NE 110TH AVE, BATTLE GROUND, WA, 98604, UNITED STATES

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Registered Agent Information

Name Role Address
SUZIE LUTTS Registered Agent 17809 NE 110TH AVE, BATTLE GROUND, WA, 98604, UNITED STATES

Key Officers & Management

Name Role Address
SUZIE LUTTS Governing Person 17809 NE 110TH AVE, BATTLE GROUND, WA, 98604, UNITED STATES

National Provider Identifier

NPI Number:
1508104811

Authorized Person:

Name:
SUZANNE G LUTTS
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes
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