| LCA CASE NUMBER | I-200-20140-585980 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Corelife of Delmarva, LLC |
| EMPLOYER ADDRESS1 | 1111 Benfield Blvd. |
| EMPLOYER ADDRESS2 | Suite 250 |
| EMPLOYER CITY | Millersville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14436794309 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Olsen |
| EMPLOYER POC FIRST NAME | Cara |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 1111 Benfield Blvd. |
| EMPLOYER POC ADDRESS2 | Suite 250 |
| EMPLOYER POC CITY | Millersville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14436794410 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Donoso |
| AGENT ATTORNEY FIRST NAME | Ignacio |
| AGENT ATTORNEY MIDDLE NAME | Alberto |
| AGENT ATTORNEY ADDRESS1 | 7401 Wisconsin Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13012760654.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | I.A. Donoso & Associates, LLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1496 Still Meadow Blvd. |
| WORKSITE ADDRESS2 | Units D and E |
| LCA CASE WORKLOC1 CITY | Salisbury |
| WORKSITE COUNTY | WICOMICO |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21804 |
| LCA CASE WAGE RATE FROM | 90000.0 |
| LCA CASE WAGE RATE TO | 105000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84989.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lindstrom |
| PREPARER FIRST NAME | Sara |
| PREPARER BUSINESS NAME | I.A. Donoso & Associates, LLC |
| PREPARER EMAIL | [email protected] |
