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TLC FAMILY PRACTICE, LLC

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Company Details

Name: TLC FAMILY PRACTICE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 31 Jan 2012 (13 years ago)
Organization Date: 31 Jan 2012 (13 years ago)
Last Annual Report: 07 May 2015 (10 years ago)
Managed By: Managers
Organization Number: 0811272
ZIP code: 41514
City: Belfry, Aflex, Burnwell, Goody, Hatfield, Toler,...
Primary County: Pike County
Principal Office: 26317 HIGHWAY 119 NORTH, BELFRY, KY 41514
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARY LISA MCCOY Registered Agent

Member

Name Role
NANCY KATRINA CLAY Member

Organizer

Name Role
NANCY KATRINA CLAY Organizer

National Provider Identifier

NPI Number:
1851663991

Authorized Person:

Name:
MRS. NANCY K. CLAY
Role:
APRN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6063536928

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-05-07
Principal Office Address Change 2014-02-11
Annual Report 2014-02-11
Principal Office Address Change 2013-06-05

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Sources: Kentucky Secretary of State