| LCA CASE NUMBER | I-200-16112-176506 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/26/16 |
| DECISION DATE | 5/2/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/16 |
| EMPLOYMENT END DATE | 9/30/19 |
| LCA CASE EMPLOYER NAME | HENDRICKS COMMUNITY HOSPITAL ASSOCIATION & RETIREMENT HOME |
| EMPLOYER ADDRESS | 503 E LINCOLN |
| EMPLOYER CITY | HENDRICKS |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56136 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5072752300 |
| AGENT ATTORNEY NAME | NGUYEN, THU |
| AGENT ATTORNEY CITY | DALLAS |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 159,598.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 196,267.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | HENDRICKS |
| WORKSITE COUNTY | LINCOLN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56136 |
