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DIVERSIFIED SOCIAL SERVICES, INC.

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Company Details

Name: DIVERSIFIED SOCIAL SERVICES, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 11 Jan 2002 (24 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 433106
Place of Formation: IDAHO
File Number: 433106
ZIP code: 83813
County: Bonner County
Mailing Address: 210 PINEWOOD LN COCOLALLA, ID 83813-9782

Agent

Name Role Address
KRISTINA NICHOLAS ANDERSON Agent 210 PINEWOOD LANE, COCOLALLA, ID 83813

President

Name Role Address Appointed On
Kristina L Nicholas Anderson President 210 PINEWOOD LANE, COCOLALLA, ID 83813 2021-05-10

National Provider Identifier

NPI Number:
1720141906

Authorized Person:

Name:
MRS. KRISTINA NICHOLAS ANDERSON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2087629892

Filing

Filing Name Filing Number Filing date
Annual Report 0006059869 2025-01-09
Annual Report 0005676758 2024-04-05
Annual Report 0005131002 2023-03-02
Annual Report 0004610797 2022-02-14
Application for Reinstatement 0004279512 2021-05-10

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State