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IDAHO DYSPHAGIA SPECIALISTS, PLLC

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Company Details

Name: IDAHO DYSPHAGIA SPECIALISTS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2025
Entity Number: 413016
Place of Formation: IDAHO
File Number: 413016
ZIP code: 83702
County: Ada County
Principal Address: 1775 W STATE ST #248 BOISE, ID 83702
Mailing Address: 1775 W STATE ST # 248 BOISE, ID 83702-3924

Agent

Name Role Address
DAY WILLIS CPAS, PLLC Agent 827 S LA CASSIA DR, BOISE, ID 83705

Manager

Name Role Address Appointed On
Anne Leaf Manager 1219 N 21ST STREET, BOISE, ID 83702 2021-02-14

National Provider Identifier

NPI Number:
1366841710
Certification Date:
2024-06-21

Authorized Person:

Name:
ANNE LEAF
Role:
SPEECH LANGUAGE PATHOLOGIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005605979 2024-02-16
Annual Report 0005095762 2023-02-05
Annual Report 0004633594 2022-03-04
Annual Report 0004174403 2021-02-14
Annual Report 0003813582 2020-03-14

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
12500.00
Total Face Value Of Loan:
12500.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
12500
Current Approval Amount:
12500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
12582.22

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State