PMO CARE PLLC

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Company Details

Legal Name:	PMO CARE PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 30th 2007
Expiration date:	30 Apr 2026
UBI Number:	602 725 791
Home State:	INDIANA
Principal Office Street Address:	55340 FRESNO ST, SOUTH BEND, IN, 46619-4574, UNITED STATES

Contact Details

E-Mail:	SERVICECO@MPBA.COM
Phone Number:	+1 904-294-2118

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
MPBA SERVICE COMPANY LLC	Registered Agent

Key Officers & Management

Name	Role
JILL FRANSKOUSKY	Governing Person

National Provider Identifier

NPI Number:

1548426091

Link:

View on NPI website

Authorized Person:

Name:

JILL FRANSKOUSKY

Role:

CEO

Phone:

4252834200

Taxonomy:

Selected Taxonomy:

251S00000X - Community/Behavioral Health Agency

Is Primary:

Selected Taxonomy:

261Q00000X - Clinic/Center

Is Primary:

Selected Taxonomy:

2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician

Is Primary:

Selected Taxonomy:

2084P0802X - Addiction Psychiatry Physician

Is Primary:

Selected Taxonomy:

101YA0400X - Addiction (Substance Use Disorder) Counselor

Is Primary:

Selected Taxonomy:

207QA0401X - Addiction Medicine (Family Medicine) Physician

Is Primary:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Selected Taxonomy:

207RA0401X - Addiction Medicine (Internal Medicine) Physician

Is Primary:

Yes

Contacts:

Phone:

+1 425-283-4200

Fax:

4256795679

Form 5500 Series

Employer Identification Number (EIN):

260587868

Plan Year:

2017

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

4252834200

File:

View File

Plan Year:

2017

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

4252834200

File:

View File

Plan Year:

2016

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

4252834200

File:

View File

Trademarks

Serial Number:

87002162

Mark:

INTEGRA HEALTH

Status:

Registration cancelled because registrant did not file an acceptable d...

Mark Type:

Service Mark

Application Filing Date:

2016-04-15

Mark Drawing Type:

4 - STANDARD CHARACTER MARK

Mark Literal Elements:

INTEGRA HEALTH

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

Behavioral health services; Medical services

First Use:

2016-06-05

International Classes:

044 - Primary Class

Class Status:

SECTION 8 - CANCELLED

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