| LCA CASE NUMBER | I-200-21063-121550 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medication Assisted Treatment/Addiction Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| 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 | WELLPATH, LLC |
| TRADE NAME DBA | F/K/A CORRECT CARE SOLUTIONS - KANSAS LLC |
| EMPLOYER ADDRESS1 | 1283 Murfreesboro Road |
| EMPLOYER ADDRESS2 | Suite 500 |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37217 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16154663457 |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Mullins |
| EMPLOYER POC FIRST NAME | Jacquelynne |
| EMPLOYER POC JOB TITLE | Talent Acquisition Project Manager |
| EMPLOYER POC ADDRESS 1 | 1283 Murfreesboro Road |
| EMPLOYER POC ADDRESS 2 | Suite 500 |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37217 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16154663457 |
| EMPLOYER POC EMAIL | JaMullins@Wellpath.us |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Welch |
| AGENT ATTORNEY FIRST NAME | Lidiya |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600 |
| AGENT ATTORNEY EMAIL ADDRESS | lidiya@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum & Pollins P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 200 Nashua Street |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2114 |
| LCA CASE WAGE RATE FROM | 35 |
| LCA CASE WAGE RATE TO | 40 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.82 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Goldblum & Pollins, P.C. |