| LCA CASE NUMBER | I-200-20181-686037 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-29 |
| DECISION DATE | 2020-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Quality Assurance and Quality Improvement |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-15 |
| END DATE | 2023-07-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Whittier Street Health Center |
| EMPLOYER ADDRESS1 | 1290 Tremont Street |
| EMPLOYER CITY | Roxbury |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16179893228 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Abbott |
| EMPLOYER POC FIRST NAME | Lewis |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1290 Tremont Street |
| EMPLOYER POC CITY | Roxbury |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16179893228 |
| EMPLOYER POC EMAIL | Lewis.Abbott@wshc.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Andenmatten |
| AGENT ATTORNEY FIRST NAME | Austin |
| AGENT ATTORNEY ADDRESS1 | 100 TradeCenter |
| AGENT ATTORNEY ADDRESS2 | Suite G700 |
| AGENT ATTORNEY CITY | Woburn |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 01801 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18576152173.0 |
| AGENT ATTORNEY EMAIL ADDRESS | andenmattenlaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Austin Andenmatten |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1290 Tremont Street |
| LCA CASE WORKLOC1 CITY | Woburn |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02120 |
| LCA CASE WAGE RATE FROM | 108846.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 108846.0 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-200-19323-155260 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| STATUTORY BASIS | BOTH |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
