Search icon

KENTUCKY LIFE SOURCE INC.

Company claim

Is this your business?

Get access!

Company Details

Name: KENTUCKY LIFE SOURCE INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Jan 2024 (a year ago)
Organization Date: 22 Jan 2024 (a year ago)
Last Annual Report: 03 Dec 2024 (6 months ago)
Organization Number: 1335262
Industry: Social Services
Number of Employees: Small (0-19)
ZIP code: 40212
City: Louisville
Primary County: Jefferson County
Principal Office: 249 S. 39th St., louisville, KY 40212
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
Avontae Brooks Registered Agent

Incorporator

Name Role
Avontae Brooks Incorporator
Zephaniah Gray Incorporator

President

Name Role
Avontae B. Brooks President

National Provider Identifier

NPI Number:
1083471262
Certification Date:
2025-03-13

Authorized Person:

Name:
JACQUELINE SANDERS
Role:
CREDENTIALING ADMIN
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-12-03
Articles of Incorporation 2024-01-22

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State