\ H1B CASE NUMBER I-200-16347-378772



CASE NUNBER: I-200-16347-378772

LCA CASE NUMBERI-200-16347-378772
STATUSCERTIFIED
LCA CASE SUBMIT12/16/2016
DECISION DATE12/22/2016
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE6/17/2017
EMPLOYMENT END DATE6/17/2020
LCA CASE EMPLOYER NAMEPOLYCLINIC LLC
EMPLOYER BUSINESS DBAAGINGWELL ADULT DAY HEALTH CENTER
EMPLOYER ADDRESS420 MAPLE STREET
EMPLOYER CITYMARLBOROUGH
EMPLOYER STATEMA
EMPLOYER POSTAL CODE01752
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE5084857700
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEPAN, YARAN
AGENT ATTORNEY CITYFRAMINGHAM
AGENT ATTORNEY STATEMA
LCA CASE JOB TITLESOCIAL WORKER
SOC CODE21-1022
SOC NAMEHEALTHCARE SOCIAL WORKERS
NAICS CODE624120
TOTAL WORKERS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONY
PREVAILING WAGE43,680.00
PW UNIT OF PAYYear
PW WAGE LEVELLevel I
PW SOURCEOES
PW SOURCE YEAR2016
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM43,680.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LCA CASE WORKLOC1 CITYMARLBOROUGH
WORKSITE COUNTYMIDDLESEX
LCA CASE WORKLOC1 STATEMA
WORKSITE POSTAL CODE01752