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SHERWOOD ADULT FAMILY HOME, LLC
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Company Details
Legal Name:
SHERWOOD ADULT FAMILY HOME, LLC
Jurisdiction:
WASHINGTON
Entity Type:
WA LIMITED LIABILITY COMPANY
Category:
DOMESTIC ENTITY
Status:
Administratively Dissolved
Formation/ Registration Date:
May 8th 2009
Date of Dissolution:
October 3rd 2018
Expiration date:
31 May 2018
UBI Number:
602 922 953
ZIP code:
98685
City:
Vancouver
County:
CLARK
Home State:
WASHINGTON
Principal Office Street Address:
2709 NW 140TH ST, VANCOUVER, WA, 98685, UNITED STATES
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Registered Agent Information
Name
Role
Address
MEMBER
Registered Agent
2709 NW 140TH ST, VANCOUVER, WA, 98685-1870, UNITED STATES
Key Officers & Management
Name
Role
VAN DAVIS
Governing Person
National Provider Identifier
NPI Number:
1255607198
Link:
View on NPI website
Authorized Person:
Name:
MRS. LAURIE M DAVIS
Role:
OWNER, OPERATOR
Phone:
3607188543
Taxonomy:
Selected Taxonomy:
311Z00000X - Custodial Care Facility
Is Primary:
Yes
Contacts:
Phone:
+1 360-718-8543
Fax:
3607188645
OSHA's Inspections within Industry
Inspection Summary
Date:
2011-06-06
Type:
Complaint
Address:
11017 NE SHERWOOD DR, VANCOUVER, WA, 98686
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website
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