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Latah Recovery Community Center, Inc.

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Company Details

Name: Latah Recovery Community Center, Inc.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3340107
Place of Formation: IDAHO
File Number: 642051
ZIP code: 83843
County: Latah County
Mailing Address: MIRINDA J DAVIS 531 S MAIN ST MOSCOW, ID 83843-2982

Agent

Name Role Address
Mirinda J Davis Agent 1954 CRESTVIEW DRIVE, MOSCOW, ID 83843

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
MG7DPZSDAJN3
CAGE Code:
8RKX2
UEI Expiration Date:
2026-03-27

Business Information

Activation Date:
2025-03-31
Initial Registration Date:
2020-10-14

National Provider Identifier

NPI Number:
1700512860
Certification Date:
2022-07-29

Authorized Person:

Name:
MR. DARRELL ERIC KEIM
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0006113833 2025-02-19
Annual Report 0005876834 2024-09-03
Application for Reinstatement 0005559924 2024-01-11
Dissolution/Revocation - Administrative 0005556750 2024-01-10
Annual Report 0004887451 2022-09-06

USAspending Awards / Financial Assistance

Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
15800.00
Total Face Value Of Loan:
15800.00

Paycheck Protection Program

Date Approved:
2020-06-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
15800
Current Approval Amount:
15800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
15863.63

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State