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Garnet State Enterprises LLC

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Company Details

Name: Garnet State Enterprises LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Apr 2022 (3 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 4697311
Place of Formation: IDAHO
File Number: 816943
ZIP code: 83835
County: Kootenai County
Principal Address: 2481 HALLEBERRY HAYDEN, ID 83835
Mailing Address: 2481 HALLEBERRY HAYDEN, ID 83835-8339

Agent

Name Role Address
Peter G Gourley Agent 2481 HALLEBERRY, HAYDEN, ID 83835

Member

Name Role Address Appointed On Resigned On
Angela D Gourley Member 2481 HALLEBERRY, HAYDEN, ID 83835 2024-04-18 2024-04-18
Peter G Gourley Member 2481 HALLEBERRY, HAYDEN, ID 83835 2023-04-30 No data

National Provider Identifier

NPI Number:
1184433005
Certification Date:
2025-01-06

Authorized Person:

Name:
MR. PETER GORDON GOURLEY
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006187833 2025-04-03
Annual Report 0005697491 2024-04-18
Annual Report 0005214949 2023-04-30
Initial Filing 0004697311 2022-04-13

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State