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FAMILY CARE CLINICAL SERVICES, PLLC

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Company Details

Name: FAMILY CARE CLINICAL SERVICES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 22 Dec 2009 (15 years ago)
Organization Date: 22 Dec 2009 (15 years ago)
Last Annual Report: 03 Sep 2010 (15 years ago)
Managed By: Members
Organization Number: 0750244
ZIP code: 42101
City: Bowling Green, Hadley, Plum Springs, Richardsville
Primary County: Warren County
Principal Office: 734 DENALI STREET, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY

Member

Name Role
Jason T Shuffitt Member

Organizer

Name Role
KARLA FIGUEROA Organizer

Registered Agent

Name Role
JASON T. SHUFFITT Registered Agent

National Provider Identifier

NPI Number:
1043526296

Authorized Person:

Name:
JASON T SHUFFITT
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2702284153

Filings

Name File Date
Administrative Dissolution 2011-09-10
Annual Report 2010-09-03
Articles of Organization (LLC) 2009-12-22

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Sources: Kentucky Secretary of State