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OPTIMAL HEALTH PEDIATRICS AND FAMILY CARE CLINIC, LLC

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Company Details

Name: OPTIMAL HEALTH PEDIATRICS AND FAMILY CARE CLINIC, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Nov 2021 (4 years ago)
Organization Date: 16 Nov 2021 (4 years ago)
Managed By: Managers
Organization Number: 1177734
ZIP code: 40391
City: Winchester, Ford
Primary County: Clark County
Principal Office: 301 BOONE AVE, SUITE A, 1750 THATCHERS MILL RD, PARIS, WINCHESTER, KY 40391
Place of Formation: KENTUCKY

Registered Agent

Name Role
Inc Authority RA Registered Agent

Organizer

Name Role
Tiffany Banks Organizer

National Provider Identifier

NPI Number:
1578295887
Certification Date:
2022-06-27

Authorized Person:

Name:
TIFFANY JOANN BANKS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2022-10-04
Principal Office Address Change 2021-12-11

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Sources: Kentucky Secretary of State