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LAKE CITY MEDICAL INVESTORS, LLC

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Company Details

Name: LAKE CITY MEDICAL INVESTORS, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 19 Nov 2015 (10 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 481860
Place of Formation: TENNESSEE
File Number: 481860
Principal Address: 3570 KEITH ST NW CLEVELAND, TN 37320
Mailing Address: JOAN E. THURMOND 3570 KEITH ST NW CLEVELAND, TN 37312-4309

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Member

Name Role Address Appointed On
Developers Investment Company, Inc. Member 3570 KEITH ST NW, CLEVELAND, TN 37312-4309 2020-10-23

National Provider Identifier

NPI Number:
1366495277

Authorized Person:

Name:
CINDY S. CROSS
Role:
ASSISTANT SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
4233398342
Fax:
2087629191

Filing

Filing Name Filing Number Filing date
Annual Report 0005916856 2024-10-02
Annual Report 0005431145 2023-10-04
Annual Report 0005059609 2023-01-10
Registered Agent Name/Address Change (mass change) 0004640176 2022-03-08
Annual Report 0004510229 2021-12-02

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State