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MOMMY'S OWN

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Company Details

Name: MOMMY'S OWN
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 28 Oct 2004 (21 years ago)
Entity Number: 254208
Place of Formation: IDAHO
File Number: 0000254208
ZIP code: 83709
County: Ada County
Mailing Address: 2742 S GEORGETOWN AVE BOISE, ID 83709

National Provider Identifier

NPI Number:
1821339136

Authorized Person:

Name:
MRS. ADRIANE GOYEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000254208 2004-10-28

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State