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EMMETT FAMILY SERVICES

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Company Details

Name: EMMETT FAMILY SERVICES
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 15 Nov 2011 (14 years ago)
Entity Number: 460402
Place of Formation: IDAHO
File Number: 0000460402
ZIP code: 83617
County: Gem County
Mailing Address: PO BOX 981 EMMETT, ID 83617

National Provider Identifier

NPI Number:
1770647612

Authorized Person:

Name:
MR. MICHAEL S LEE
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
2086426164

Filing

Filing Name Filing Number Filing date
Initial Filing 0000460402 2011-11-15

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State