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MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C.

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Company Details

Name: MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 16 Nov 2009 (16 years ago)
Financial Date End: 30 Nov 2012
Date dissolved: 11 Feb 2013
Entity Number: 274823
Place of Formation: IDAHO
File Number: 0000274823
ZIP code: 83843
County: Latah County
Principal Address: 317 W 6TH ST STE 206 MOSCOW, ID 83843

National Provider Identifier

NPI Number:
1134456031

Authorized Person:

Name:
DR. BAILEY LYNN SMITH
Role:
DOCTOR OF CHIROPRACTIC
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0002085749 2011-10-21
Annual Report 0002085748 2011-09-18
Annual Report 0002085747 2010-09-10
Initial Filing 0000274823 2009-11-16

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State