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Fulfilling Hope Human Services, LLC

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Company Details

Name: Fulfilling Hope Human Services, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 22 Dec 2022 (3 years ago)
Financial Date End: 31 Dec 2024
Date dissolved: 12 Jul 2024
Entity Number: 5037062
Place of Formation: IDAHO
File Number: 855008
ZIP code: 83858
County: Kootenai County
Principal Address: 15464 N VERNON ST RATHDRUM, ID 83858
Mailing Address: PO BOX 184 RATHDRUM, ID 83858-0184

Agent

Name Role Address
Andrea McClure Agent 15464 N VERNON ST, RATHDRUM, ID 83858

Manager

Name Role Address Appointed On
Andrea B McClure Manager 15464 N VERNON ST, RATHDRUM, ID 83858 2023-12-13

National Provider Identifier

NPI Number:
1740051325
Certification Date:
2024-01-05

Authorized Person:

Name:
ANDREA MCCLURE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2082926661

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005816892 2024-07-11
Annual Report 0005510726 2023-12-13
Initial Filing 0005037062 2022-12-22

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State