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REVIVE HEALTH CONCIERGE, LLC

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Company Details

Legal Name: REVIVE HEALTH CONCIERGE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 5th 2019
Expiration date: 30 Sep 2025
UBI Number: 604 508 550
ZIP code: 98112
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2800 E MADISON ST, SUITE 201, SEATTLE, WA, 98112-4865, UNITED STATES

Contact Details

E-Mail: LESLIENOBLE@GMAIL.COM
Phone Number: +1 206-717-5622

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LESLIE CASIAS Registered Agent 2800 E MADISON ST, #201, SEATTLE, WA, 98112-4865, UNITED STATES

Key Officers & Management

Name Role Address
LESLIE CASIAS Executor 2020 116TH AVE NE, SUITE 100, BELLEVUE, WA, 98004-3060, UNITED STATES
LESLIE CASIAS Governing Person 2020 116TH AVE NE, SUITE 100, BELLEVUE, WA, 98004-3060, UNITED STATES

National Provider Identifier

NPI Number:
1750019147
Certification Date:
2023-07-26

Authorized Person:

Name:
LESLIE CASIAS
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8556314133
Fax:
9495614815
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