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Revive Recovery LLC
Company Details
| Name: |
Revive Recovery LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Inactive-Dissolved (Administrative)
|
| Date of registration: |
06 Jun 2022 (3 years ago)
|
| Financial Date End: |
30 Jun 2024 |
| Date dissolved: |
21 Sep 2024 |
| Entity Number: |
4771973 |
| Place of Formation: |
IDAHO |
| File Number: |
825919 |
| ZIP code: |
83651
|
| County: |
Canyon County |
| Principal Address: |
JIM YORK 2432 W BAY POINTE AVE NAMPA, ID 83651 |
| Mailing Address: |
JIM YORK 2432 W BAY POINTE AVE NAMPA, ID 83651-5038 |
Agent
| Name |
Role |
Address |
|
james r york
|
Agent
|
2432 W BAY POINTE AVE, NAMPA, ID 83651
|
Manager
| Name |
Role |
Address |
Appointed On |
|
James r york
|
Manager
|
2432 W BAY POINTE AVE, NAMPA, ID 83651
|
2023-05-03
|
National Provider Identifier
Certification Date:
2022-08-02
Authorized Person:
Taxonomy:
Selected Taxonomy:
2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Selected Taxonomy:
103TA0400X - Addiction (Substance Use Disorder) Psychologist
Contacts:
Filing
| Filing Name |
Filing Number |
Filing date |
|
Dissolution/Revocation - Administrative
|
0005906530
|
2024-09-21
|
|
Annual Report
|
0005218514
|
2023-05-03
|
|
Initial Filing
|
0004771973
|
2022-06-06
|
This company hasn't received any reviews.
Date of last update: 25 Mar 2025
Sources:
Idaho Secretary of State
