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VALLEY HOME OXYGEN

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Company Details

Name: VALLEY HOME OXYGEN
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 08 Mar 2000 (25 years ago)
Entity Number: 114180
Place of Formation: IDAHO
File Number: 0000114180
ZIP code: 83254
County: Bear Lake County
Mailing Address: 762 WASHINGTON MONTPELIER, ID 83254

National Provider Identifier

NPI Number:
1578524575

Authorized Person:

Name:
MRS. LEANDRA OLSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
Yes

Contacts:

Fax:
2088471578

Filing

Filing Name Filing Number Filing date
Initial Filing 0000114180 2000-03-08

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State