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FOREST HILLS HEALTH CENTER, LLC.

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Company Details

Name: FOREST HILLS HEALTH CENTER, LLC.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 15 Jun 2005 (20 years ago)
Organization Date: 15 Jun 2005 (20 years ago)
Last Annual Report: 12 May 2006 (19 years ago)
Managed By: Members
Organization Number: 0615349
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 1704 FOREST DRIVE, CORBIN, KY 40701
Place of Formation: KENTUCKY

Registered Agent

Name Role
NEIL PATIL Registered Agent

Member

Name Role
Neil J Patil Member
Cynthia Marlene Sharp Member

Signature

Name Role
Neil Patil Signature

Organizer

Name Role
NEIL PATIL Organizer
MARLENE SHARP Organizer

National Provider Identifier

NPI Number:
1669679536

Authorized Person:

Name:
CYNTHIA MARLENE SHARP
Role:
ARNP-BC
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2007-04-20
Statement of Change 2006-05-19
Principal Office Address Change 2006-05-19
Annual Report 2006-05-12
Articles of Organization 2005-06-15

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Sources: Kentucky Secretary of State