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LANE VAN DER SLUIS, INC., P.S.

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Company Details

Legal Name: LANE VAN DER SLUIS, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 27th 2005
Expiration date: 31 May 2026
UBI Number: 602 507 184
ZIP code: 98629
City: La Center
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9817 NE 339TH ST, LA CENTER, WA, 98629-2809, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 213, LA CENTER, WA, 98629-0213, UNITED STATES

Contact Details

E-Mail: LVDSLUIS2904@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JUDITH VAN DER SLUIS Registered Agent 9817 NE 339TH ST, LA CENTER, WA, 98629-0000, UNITED STATES

Key Officers & Management

Name Role
LANE VANDERSLUIS Governing Person
JUDITH VANDERSLUIS Governing Person

National Provider Identifier

NPI Number:
1437485679

Authorized Person:

Name:
DR. LANE VAN DER SLUIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
8665241569
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