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LACEY ACCIDENT & INJURY REHABILITATION LLC

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Company Details

Legal Name: LACEY ACCIDENT & INJURY REHABILITATION LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 13th 2021
Expiration date: 31 Jul 2026
UBI Number: 604 783 205
ZIP code: 98503
City: Lacey
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 130 MARVIN RD SE, STE 105, LACEY, WA, 98503-6102, UNITED STATES

Contact Details

E-Mail: BAYCENTER@OUTLOOK.COM
Phone Number: +1 360-786-6322

Nature of Business

HEALTH CARE

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Registered Agent Information

Name Role Address
BRIAN WILMOVSKY Registered Agent 130 MARVIN RD SE STE 105, LACEY, WA, 98503-6102, UNITED STATES

Key Officers & Management

Name Role Address
BRIAN WILMOVSKY Governing Person -
BRIAN WILMOVSKY EXECUTOR 2627 CAPITAL MALL DR SW # B-3A, OLYMPIA, WA, 98502-8696, UNITED STATES

National Provider Identifier

NPI Number:
1205505450
Certification Date:
2021-09-10

Authorized Person:

Name:
ALLISON GRAY
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change LACEY ACCIDENT & REHABILITATION LLC LACEY ACCIDENT & INJURY REHABILITATION LLC 2021-07-13
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