| LCA CASE NUMBER | I-200-20188-697533 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-06 |
| DECISION DATE | 2020-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICAL THERAPIST |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-07 |
| END DATE | 2023-09-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF WARREN COUNTY |
| TRADE NAME DBA | WARREN HILLS NURSING CENTER |
| EMPLOYER ADDRESS1 | 864 US HIGHWAY 158 BUSINESS WEST |
| EMPLOYER CITY | WARRENTON |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27589 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19104098484 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | DAVIS |
| EMPLOYER POC FIRST NAME | RAYMOND |
| EMPLOYER POC JOB TITLE | FOREIGN RECRUITING DIRECTOR |
| EMPLOYER POC ADDRESS1 | 2334 SOUTH 41ST STREET |
| EMPLOYER POC CITY | WILMINGTON |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19108153111 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SMALLEY |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 8529 SIX FORKS ROAD, FORUM IV, STE 600 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27615 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19197899700.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | OGLETREE, DEAKINS, NASH, SMOAK & STEWARET, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NORTH CAROLINA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 864 US HWY 158 BUSINESS WEST |
| LCA CASE WORKLOC1 CITY | WARRENTON |
| WORKSITE COUNTY | WARREN |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27589 |
| LCA CASE WAGE RATE FROM | 42.02 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.02 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SMALLEY |
| PREPARER FIRST NAME | STEPHEN |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | OGLETREE, DEAKINS, NASH, SMOAK & STEWART, P.C. |
| PREPARER EMAIL | [email protected] |
