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FAMILY SUPPORT SERVICES OF NORTH IDAHO

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Company Details

Name: FAMILY SUPPORT SERVICES OF NORTH IDAHO
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 14 Dec 2000 (25 years ago)
Entity Number: 135680
Place of Formation: IDAHO
File Number: 0000135680
ZIP code: 83854
County: Kootenai County
Mailing Address: PO BOX 2786 POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1053536524

Authorized Person:

Name:
MRS. JODI SMITH
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2086677557

Form 5500 Series

Employer Identification Number (EIN):
820527043
Plan Year:
2010
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000135680 2000-12-14

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State