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FERN MEDICAL AND REHAB Corp

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Company Details

Name: FERN MEDICAL AND REHAB Corp
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 11 Nov 2015 (10 years ago)
Organization Date: 11 Nov 2015 (10 years ago)
Organization Number: 0936810
ZIP code: 40228
City: Louisville, Hollow Creek, Spring Mill
Primary County: Jefferson County
Principal Office: 5520 Fern Valley Rd Ste 107, Louisville, KY 40228
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
RAUDEL VELOZ Incorporator

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

National Provider Identifier

NPI Number:
1407229545

Authorized Person:

Name:
RAUDEL VELOZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution Return 2016-10-21
Administrative Dissolution 2016-10-01

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Sources: Kentucky Secretary of State