Name: | MahlkeNP LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 12 Jul 2021 (4 years ago) |
Identification Number: | 001726684 |
ZIP code: | 02893 |
County: | Kent County |
Principal Address: | 98 LOCKWOOD ST, WEST WARWICK, RI, 02893, USA |
Purpose: | NURSE PRACTITIONER WHO PROVIDES MENTAL HEALTH SERVICES IN SOME AREA NURSING HOMES AS A CONSULTANT |
NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316517717 | 2021-06-28 | 2021-06-28 | 98 LOCKWOOD ST, WEST WARWICK, RI, 028932109, US | 98 LOCKWOOD ST, WEST WARWICK, RI, 028932109, US | |||||||||||||
|
Phone | +1 401-821-0787 |
Authorized person
Name | SUSAN MAHLKE |
Role | NP |
Phone | 4018210787 |
Taxonomy
Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SUSAN MAHLKE | Agent | 98 LOCKWOOD STREET, WEST WARWICK, RI, 02893, USA |
Number | Name | File Date |
---|---|---|
202451334040 | Annual Report | 2024-04-17 |
202335616680 | Annual Report | 2023-05-14 |
202216563520 | Annual Report | 2022-05-02 |
202199201390 | Articles of Organization | 2021-07-12 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State