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FAITH BASED SURGICAL ASSISTING, LLC

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Company Details

Name: FAITH BASED SURGICAL ASSISTING, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 11 Dec 2003 (21 years ago)
Organization Date: 11 Dec 2003 (21 years ago)
Last Annual Report: 16 Apr 2009 (16 years ago)
Managed By: Members
Organization Number: 0573980
ZIP code: 40403
City: Berea
Primary County: Madison County
Principal Office: 867 DREYFUS RD, BEREA, KY 40403
Place of Formation: KENTUCKY

Registered Agent

Name Role
CATHY WALL Registered Agent

Member

Name Role
Cathy Wall Member

Signature

Name Role
CATHY WALL Signature

Organizer

Name Role
CATHY WALL Organizer

National Provider Identifier

NPI Number:
1962521492

Authorized Person:

Name:
CATHY WALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
246ZS0410X - Surgical Technologist
Is Primary:
Yes

Contacts:

Fax:
5024519291

Filings

Name File Date
Administrative Dissolution 2010-11-02
Annual Report 2009-04-16
Annual Report 2008-07-23
Annual Report 2007-06-26
Annual Report 2006-06-15

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Sources: Kentucky Secretary of State