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RAINIER VALLEY WELLNESS

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Company Details

Legal Name: RAINIER VALLEY WELLNESS
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 9th 2023
Expiration date: 31 Mar 2026
UBI Number: 605 126 041
ZIP code: 98118
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4708 S MEAD ST, SEATTLE, WA, 98118-2810, UNITED STATES

Contact Details

E-Mail: INFO@MYRVCC.ORG
Phone Number: +1 425-207-8769

Nature of Business

Charitable

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Registered Agent Information

Name Role Address
EXECUTIVE DIRECTOR Registered Agent 4708 S MEAD ST, SEATTLE, WA, 98118, UNITED STATES

Key Officers & Management

Name Role Address
TARA LAWAL Governing Person 4200 S. OTHELLO ST. #122, SEATTLE, WA, 98118, UNITED STATES
ADRIAN LEE MAYS Initial Board Of Director 1494 N PERSHING ST, FAYETTEVILLE, AR, 72704-5094, UNITED STATES
LIKA SMITH Initial Board Of Director 5210 12TH ST E STE B, FIFE, WA, 98424-2797, UNITED STATES
STEPHANIE BAILEY Initial Board Of Director 9200 4TH AVE SW, SEATTLE, WA, 98106-3131, UNITED STATES
CHARLOTTE NICKLES Initial Board Of Director 13306 SE 272ND ST, KENT, WA, 98042-8090, UNITED STATES
JULIE NEACE INCORPORATOR 4708 S MEAD ST, SEATTLE, WA, 98118, UNITED STATES

National Provider Identifier

NPI Number:
1114636669
Certification Date:
2022-12-07

Authorized Person:

Name:
TARA KALEILANI LAWAL
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

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