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WHIDBEY ISLAND MANOR, INC.

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Company Details

Legal Name: WHIDBEY ISLAND MANOR, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 21st 1963
Date of Dissolution: February 9th 2023
Expiration date: 31 May 2022
UBI Number: 153 001 208
ZIP code: 98277
City: Oak Harbor
County: ISLAND
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 265 NE KETTLE ST, OAK HARBOR, WA, 98277-2602, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1593, OAK HARBOR, WA, 98277-1593, UNITED STATES

Contact Details

E-Mail: JLKLAW@WHIDBEY.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAMES L KOTSCHWAR Registered Agent 265 NE KETTLE ST #101, OAK HARBOR, WA, 98277-0000, UNITED STATES

Key Officers & Management

Name Role Address
JAMES KOTSCHWAR Governing Person -
MARK WIGGINS Governing Person -
LEEANN HALPIN Governing Person 16354 BRITT RD, MOUNT VERNON, WA, 98273, UNITED STATES

National Provider Identifier

NPI Number:
1063591998

Authorized Person:

Name:
MARK S. WIGGINS
Role:
ADMINISTRATOR/CEO
Phone:

Taxonomy:

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

Contacts:

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