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KCCS, LLC

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Company Details

Name: KCCS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Jan 2011 (14 years ago)
Organization Date: 19 Jan 2011 (14 years ago)
Last Annual Report: 22 Jun 2012 (13 years ago)
Managed By: Members
Organization Number: 0779957
ZIP code: 40356
City: Nicholasville
Primary County: Jessamine County
Principal Office: 227 N. MAIN STREET, NICHOLASVILLE, KY 40356
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARY G. HENDERSON Registered Agent

Member

Name Role
Mary Henderson Hicks Member

Organizer

Name Role
MARY G. HENDERSON Organizer

National Provider Identifier

NPI Number:
1538454020

Authorized Person:

Name:
MARY HENDERSON
Role:
PROGRAM AMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
Yes

Contacts:

Fax:
8598872831

Filings

Name File Date
Dissolution 2012-12-05
Principal Office Address Change 2012-06-22
Annual Report 2012-06-22
Articles of Organization (LLC) 2011-01-19

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Sources: Kentucky Secretary of State