| LCA CASE NUMBER | I-200-18066-682261 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/7/18 |
| DECISION DATE | 3/13/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/6/18 |
| EMPLOYMENT END DATE | 9/5/21 |
| LCA CASE EMPLOYER NAME | LODI SKILLED NURSING SERVICES, INC. |
| EMPLOYER BUSINESS DBA | FAIRMONT REHABILITATION HOSPITAL |
| EMPLOYER ADDRESS | 950 S. FAIRMONT AVENUE |
| EMPLOYER CITY | LODI |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95240 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2093680693 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MEHLMAN, SHARON |
| AGENT ATTORNEY CITY | SAN DIEGO |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | CARE SPECIALIST NURSE |
| SOC CODE | 29-1141 |
| SOC NAME | REGISTERED NURSES |
| NAICS CODE | 623110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 35.90 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 36.00 |
| LCA CASE WAGE RATE TO | 38.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | LODI |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95240 |
