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LIBERTY WELLCARE, P.L.L.C

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Company Details

Name: LIBERTY WELLCARE, P.L.L.C
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Apr 2013 (12 years ago)
Organization Date: 05 Apr 2013 (12 years ago)
Last Annual Report: 14 May 2017 (8 years ago)
Managed By: Members
Organization Number: 0854421
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 216 BLUFFWOOD DR, DANVILLE, KY 40422
Place of Formation: KENTUCKY

Member

Name Role
IMAD A HADDAD Member

Organizer

Name Role
IMAD A HADDAD Organizer

Registered Agent

Name Role
IMAD A HADDAD Registered Agent

National Provider Identifier

NPI Number:
1134563125

Authorized Person:

Name:
DR. IMAD A HADDAD
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2703785786

Filings

Name File Date
Dissolution 2018-06-22
Annual Report 2017-05-14
Annual Report 2016-05-30
Annual Report 2015-05-10
Annual Report 2014-06-08

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Sources: Kentucky Secretary of State