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LITTLE MOUNTAIN HEALTHCARE, INC.

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Company Details

Legal Name: LITTLE MOUNTAIN HEALTHCARE, INC.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: March 26th 2021
Expiration date: 31 Mar 2026
UBI Number: 604 735 247
ZIP code: 98274
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 300 S 18TH ST, MOUNT VERNON, WA, 98274-4661, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA, 92675-1049, UNITED STATES

Contact Details

E-Mail: RENEWALS@ENSIGNSERVICES.NET

Nature of Business

Other Services, SKILLED NURSING FACILITY

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Registered Agent Information

Name Role
COGENCY GLOBAL INC. Registered Agent

Key Officers & Management

Name Role
STEVEN ROSS Governing Person
STEVE FARNSWORTH Governing Person
AMI SATO Governing Person
SOON BURNAM Governing Person

U.S. Small Business Administration Profile

DBA:
MIRA VISTA CARE CENTER
Phone Number:
Contact Person:
OLIVIA BLACK
Last Update Date:
2024-12-12
Naics Primary:
623110

Self-Certification:

For Profit Organization

National Provider Identifier

NPI Number:
1578149233
Certification Date:
2022-02-17

Authorized Person:

Name:
SOON BURNAM
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
3608481948
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