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LIFELINE HEALTH CARE OF KENTUCKY #3, INC.

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Company Details

Name: LIFELINE HEALTH CARE OF KENTUCKY #3, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Sep 1987 (38 years ago)
Organization Date: 24 Sep 1987 (38 years ago)
Last Annual Report: 02 Oct 2009 (16 years ago)
Organization Number: 0234369
ZIP code: 42502
City: Somerset
Primary County: Pulaski County
Principal Office: P.O. BOX 429, SOMERSET, KY 42502-0429
Place of Formation: KENTUCKY
Authorized Shares: 1000

Director

Name Role
James T Wilson Director
James M Frazer Director
WILLIAM M. SELVIDGE, M. Director
JAMES T. WILSON Director

Chairman

Name Role
James T Wilson Chairman

President

Name Role
James M Frazer President

Signature

Name Role
JAMES T WILSON Signature

Incorporator

Name Role
JAMES M. FRAZER Incorporator

Registered Agent

Name Role
JAMES M. FRAZER Registered Agent

National Provider Identifier

NPI Number:
1154354595

Authorized Person:

Name:
MR. JAMES T. WILSON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No

Contacts:

Fax:
6066787306
Fax:
2707267213

Filings

Name File Date
Dissolution 2009-11-09
Annual Report 2009-10-02
Principal Office Address Change 2008-07-02
Annual Report 2008-06-26
Annual Report 2007-06-27

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Sources: Kentucky Secretary of State