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RESTORE REHABILITATION, PLLC

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Company Details

Name: RESTORE REHABILITATION, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 04 Mar 2014 (11 years ago)
Organization Date: 04 Mar 2014 (11 years ago)
Last Annual Report: 07 Aug 2017 (8 years ago)
Managed By: Managers
Organization Number: 0880961
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 10241 CHAMPION FARMS DRIVE, LOUISVILLE, KY 40241
Place of Formation: KENTUCKY

Registered Agent

Name Role
JAMES BURD Registered Agent

Member

Name Role
Christopher Nelson Member

Organizer

Name Role
CHRISTOPHER L. NELSON Organizer

National Provider Identifier

NPI Number:
1578981718

Authorized Person:

Name:
DR. CHRISTOPHER NELSON
Role:
SOLE MEMBER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5024231848

Filings

Name File Date
Sixty Day Notice Return 2018-10-18
Administrative Dissolution 2018-10-16
Annual Report 2017-08-07
Annual Report 2016-05-17
Principal Office Address Change 2016-01-15

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Sources: Kentucky Secretary of State