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A Willow Haven, LLC

Company Details

Name: A Willow Haven, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Jan 2019 (6 years ago)
Organization Date: 13 Jan 2019 (6 years ago)
Last Annual Report: 04 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1044672
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 400 Elizabeth Dr, Hazard, KY 41701
Place of Formation: KENTUCKY

Registered Agent

Name Role
Jory K Wells Registered Agent

Organizer

Name Role
Jory K Wells Organizer

Member

Name Role
Joshua k Wells Member
Jory k Wells Member

National Provider Identifier

NPI Number:
1447912175
Certification Date:
2021-10-11

Authorized Person:

Name:
MR. JORY WELLS
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2025-03-04
Annual Report 2024-06-14
Annual Report 2023-03-21
Annual Report 2022-03-08
Annual Report 2021-04-15

Sources: Kentucky Secretary of State