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LIVING LEGACY HEALTH LLC

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Company Details

Name: LIVING LEGACY HEALTH LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 Jul 2022 (3 years ago)
Financial Date End: 31 Jul 2024
Date dissolved: 11 Oct 2024
Entity Number: 4819392
Place of Formation: IDAHO
File Number: 830976
ZIP code: 83501
County: Nez Perce County
Principal Address: DR JOHN RUDOLPH 7717 PADDOCK LN LEWISTON, ID 83501
Mailing Address: DR JOHN RUDOLPH 7717 PADDOCK LN LEWISTON, ID 83501-6291

Agent

Name Role Address
DR JOHN B RUDOLPH Agent 7717 PADDOCK LN, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
DR. JOHN B RUDOLPH Manager 7717 PADDOCK LN, LEWISTON, ID 83501-6291 2023-06-27

National Provider Identifier

NPI Number:
1891487997
Certification Date:
2024-01-02

Authorized Person:

Name:
DR. JOHN RUDOLPH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005937317 2024-10-11
Annual Report 0005294746 2023-06-27
Initial Filing 0004819392 2022-07-11

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Date of last update: 25 Mar 2025

Sources: Idaho Secretary of State