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PINE MOUNTAIN RIDGE AFH LLC

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Company Details

Legal Name: PINE MOUNTAIN RIDGE AFH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 19th 2023
Expiration date: 31 Dec 2025
UBI Number: 605 374 186
ZIP code: 98903
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 590 PINE MOUNTAIN DR, YAKIMA, WA, 98903-9157, UNITED STATES

Contact Details

E-Mail: PINEMOUNTAINAFH@OUTLOOK.COM
Phone Number: +1 509-845-1648

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JUSTINE PRATHER Registered Agent 590 PINE MOUNTAIN DR, YAKIMA, WA, 98903-9157, UNITED STATES

Key Officers & Management

Name Role Address
JUSTINE PRATHER Executor 590 PINE MOUNTAIN DR, YAKIMA, WA, 98903-9157, UNITED STATES
JUSTINE PRATHER Governing Person 6608 S APPLEVIEW RD, YAKIMA, WA, 98908, UNITED STATES

National Provider Identifier

NPI Number:
1811710692
Certification Date:
2024-11-01

Authorized Person:

Name:
JUSTINE PRATHER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

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