Search icon

PROVIDENCE, LLC

Company claim

Is this your business?

Get access!

Company Details

Legal Name: PROVIDENCE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 26th 2019
Expiration date: 30 Apr 2026
UBI Number: 604 443 842
ZIP code: 98021
City: Bothell
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3509 216TH PL SE, BOTHELL, WA, 98021, UNITED STATES

Contact Details

E-Mail: JWIDJAJA25@GMAIL.COM
Phone Number: +1 425-375-1399

Nature of Business

Any Lawful Purpose

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
JIMMY WIDJAJA Registered Agent 3509 216TH PL SE, BOTHELL, WA, 98021, UNITED STATES

Key Officers & Management

Name Role Address
JIMMY WIDJAJA Executor 3509 216TH PL SE, BOTHELL, WA, 98021, UNITED STATES
EVELINE KURNIAWAN Executor 3509 216TH PL SE, BOTHELL, WA, 98021, UNITED STATES
JIMMY WIDJAJA Governing Person 3509 216TH PL SE, BOTHELL, WA, 98021, UNITED STATES
EVELINE KURNIAWAN Governing Person -

National Provider Identifier

NPI Number:
1043610157

Authorized Person:

Name:
DR. NERIS PALUNAS
Role:
PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

See something incorrect or outdated? Let us know