\ H1B CASE NUMBER I-200-18212-438093



CASE NUNBER: I-200-18212-438093

LCA CASE NUMBERI-200-18212-438093
STATUSCERTIFIED
LCA CASE SUBMIT7/31/18
DECISION DATE8/6/18
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE8/31/18
EMPLOYMENT END DATE8/28/21
LCA CASE EMPLOYER NAMECOUNTRYSIDE CARE CENTER, INC.
EMPLOYER BUSINESS DBACOUNTRYSIDE CARE CENTER
EMPLOYER ADDRESS2121 ROBINSON ROAD
EMPLOYER CITYJACKSON
EMPLOYER STATEMI
EMPLOYER POSTAL CODE49203
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE5177874150
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEARORA, RAHUL
AGENT ATTORNEY CITYJACKSON
AGENT ATTORNEY STATEMI
LCA CASE JOB TITLEPHYSICAL THERAPIST
SOC CODE29-1123
SOC NAMEPHYSICAL THERAPISTS
NAICS CODE623110
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMP0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONN
PREVAILING WAGE42.91
PW UNIT OF PAYHour
PW WAGE LEVELLevel III
PW SOURCEOther
PW SOURCE YEAR2018
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM47.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITHour
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LABOR CON AGREEN
LCA CASE WORKLOC1 CITYJACKSON
WORKSITE COUNTYJACKSON
LCA CASE WORKLOC1 STATEMI
WORKSITE POSTAL CODE49203