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NORTH LAKE 5-O, LLC

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Company Details

Legal Name: NORTH LAKE 5-O, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: January 27th 2021
Date of Dissolution: May 2nd 2022
Expiration date: 31 Jan 2022
UBI Number: 603 491 645
ZIP code: 98155
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2818 NE 145TH ST, SHORELINE, WA, 98155-7556, UNITED STATES

Contact Details

E-Mail: JVARNISHUNG@FIVEOAKSHEALTH.COM
Phone Number: +1 206-418-2900

Nature of Business

Health Care, Social Assistance & Service Organization, OPERATE SKILLED NURSING FACILITY

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Registered Agent Information

Name Role Address
BRIAN NEWBERRY Registered Agent 2818 NE 145TH ST, SHORELINE, WA, 98155-7556, UNITED STATES

Key Officers & Management

Name Role Address
BRIAN J. NEWBERRY Governing Person 28202 CABOT RD #412, LAGUNA NIGUEL, CA, 92677, UNITED STATES
COLLIN S. NEWBERRY Governing Person -
LELAND E. BRUCE, JR. Governing Person -

National Provider Identifier

NPI Number:
1447647482

Authorized Person:

Name:
BRIAN NEWBERRY
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

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