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IDAHO CHILDREN'S REHABILITATION CENTER, LLC (THE)

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Company Details

Name: IDAHO CHILDREN'S REHABILITATION CENTER, LLC (THE)
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 13 Feb 2008 (17 years ago)
Financial Date End: 28 Feb 2009
Date dissolved: 20 Mar 2009
Entity Number: 224401
Place of Formation: IDAHO
File Number: 0000224401
ZIP code: 83404
County: Bonneville County
Principal Address: 1975 MARTHA AVENUE IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1689846362

Authorized Person:

Name:
MR. MATT F SMITH
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2085291627

Filing

Filing Name Filing Number Filing date
Registered Agent Resignation from an Entity 0001821165 2010-06-03
Articles of Dissolution 0000807314 2009-03-20
Initial Filing 0000224401 2008-02-13

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State