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KEYSTONE HOME HEALTH, LLC

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Company Details

Name: KEYSTONE HOME HEALTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Sep 2014 (11 years ago)
Financial Date End: 30 Sep 2016
Date dissolved: 20 Dec 2016
Entity Number: 435039
Place of Formation: IDAHO
File Number: 0000435039
ZIP code: 83616
County: Ada County
Principal Address: 1159 IRON EAGLE DR STE 170-D EAGLE, ID 83616

National Provider Identifier

NPI Number:
1881084721

Authorized Person:

Name:
TOM RICH
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2085497880

Filing

Filing Name Filing Number Filing date
Annual Report 0002849954 2015-10-12
Legacy Amendment 0000897081 2015-01-28
Initial Filing 0000435039 2014-09-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State