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HEALTH & WELLNESS

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Company Details

Name: HEALTH & WELLNESS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 30 Dec 2004 (21 years ago)
Entity Number: 258890
Place of Formation: IDAHO
File Number: 0000258890
ZIP code: 83201
County: Bannock County
Mailing Address: 1553 E CENTER ST POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1134350804

Authorized Person:

Name:
ZAC D RICE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2082339300

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000824995 2017-09-05
Initial Filing 0000258890 2004-12-30

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State