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SUNNYSIDE COMMUNITY HOSPITAL HOME MEDICAL SUPPLY, LLC

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Company Details

Legal Name: SUNNYSIDE COMMUNITY HOSPITAL HOME MEDICAL SUPPLY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 3rd 2014
Date of Dissolution: December 3rd 2023
Expiration date: 31 Jul 2023
UBI Number: 603 417 447
ZIP code: 98944
City: Sunnyside
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1016 TACOMA AVE, SUNNYSIDE, WA, 98944-2263, UNITED STATES

Nature of Business

HEALTHCARE

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Registered Agent Information

Name Role Address
MAXWELL OWENS Registered Agent 1016 TACOMA AVE, SUNNYSIDE, WA, 98944-2263, UNITED STATES

Key Officers & Management

Name Role
BRIAN P. GIBBONS JR. Governing Person

National Provider Identifier

NPI Number:
1457769119

Authorized Person:

Name:
MR. BRIAN GIBBONS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5098360175
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