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Charis HealthCare, PLLC

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Company Details

Name: Charis HealthCare, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 18 Jun 2015 (10 years ago)
Organization Date: 18 Jun 2015 (10 years ago)
Last Annual Report: 11 Aug 2016 (9 years ago)
Managed By: Members
Organization Number: 0925252
ZIP code: 40014
City: Crestwood, Ballardsville, Orchard Grass, Orchard Gr...
Primary County: Oldham County
Principal Office: 3811 BARBARA ANN BLVD, Crestwood, KY 40014
Place of Formation: KENTUCKY

Registered Agent

Name Role
Michelle Baxter Registered Agent

Manager

Name Role
Michelle L. Baxter Manager

Organizer

Name Role
Michelle Baxter Organizer

National Provider Identifier

NPI Number:
1821471103

Authorized Person:

Name:
MR. AMANDEEP SINGH
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5026147181

Filings

Name File Date
Dissolution 2017-06-20
Annual Report 2016-08-11

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Sources: Kentucky Secretary of State