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RENTON SNF HEALTHCARE, LLC

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Company Details

Legal Name: RENTON SNF HEALTHCARE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 18th 2024
Expiration date: 30 Sep 2026
UBI Number: 605 609 683
ZIP code: 98055
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17420 106TH PL SE, RENTON, WA, 98055-5438, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES

Contact Details

E-Mail: DEB.GOGERTY@PACS.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
JOHN MITCHELL Executor 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
PROVIDENCE GROUP NH, LLC Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
JOSHUA JERGENSEN Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
FREDERICK APT, IV Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
JOHN MITCHELL Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES

National Provider Identifier

NPI Number:
1942029350
Certification Date:
2024-11-15

Authorized Person:

Name:
JOHN MITCHELL
Role:
SECRETARY
Phone:

Taxonomy:

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

Contacts:

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