| LCA CASE NUMBER | I-200-21207-482800 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-26 |
| DECISION DATE | 2021-08-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fortuna Rehabilitation & Wellness Center, LP |
| EMPLOYER ADDRESS1 | 2321 Newburg Rd |
| EMPLOYER CITY | Fortuna |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95540 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17077254467 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Webb |
| EMPLOYER POC FIRST NAME | Dana |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 2321 Newburg Rd |
| EMPLOYER POC CITY | Fortuna |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95540 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17077254467 |
| EMPLOYER POC EMAIL | administrator@fortunarehabwc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hoballah |
| AGENT ATTORNEY FIRST NAME | Wafa |
| AGENT ATTORNEY ADDRESS1 | 1901 Avenue of the Stars |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102776953 |
| AGENT ATTORNEY EMAIL ADDRESS | wafa@wjhlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | WJH Law Group APC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appeal Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2321 Newburg Rd |
| LCA CASE WORKLOC1 CITY | Fortuna |
| WORKSITE COUNTY | HUMBOLDT |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95540 |
| LCA CASE WAGE RATE FROM | 46 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.19 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
