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Liberty Advanced Integrative Care LLC

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Company Details

Name: Liberty Advanced Integrative Care LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Oct 2023 (2 years ago)
Date of Dissolution: 17 Sep 2024 (10 months ago)
Date of Status Change: 17 Sep 2024 (10 months ago)
Identification Number: 001764256
ZIP code: 02813
City: Charlestown
County: Washington County
Principal Address: Google Maps Logo 3769 OLD POST ROAD, CHARLESTOWN, RI, 02813, USA

Agent

Name Role Address
WENDY HOLLAND Agent 126 MAIL ROAD, EXETER, RI, 02822, USA

National Provider Identifier

NPI Number:
1417723933
Certification Date:
2024-08-22

Authorized Person:

Name:
DR. WENDY HOLLAND
Role:
CLINICAL DIRECTOR/CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8775012230

Filings

Number Name File Date
202460137630 Revocation Certificate For Failure to File the Annual Report for the Year 2024-09-17
202456439010 Revocation Notice For Failure to File An Annual Report 2024-06-18
202342223400 Articles of Organization 2023-10-12

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Date of last update: 17 Jul 2025

Sources: Rhode Island Department of State