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LIVE WELL HEALTH AND NUTRITION PLLC

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Company Details

Name: LIVE WELL HEALTH AND NUTRITION PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jun 2016 (9 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 509116
Place of Formation: IDAHO
File Number: 509116
ZIP code: 83646
County: Ada County
Principal Address: 2061 N NYBORG WAY MERIDIAN, ID 83646
Mailing Address: 2061 N NYBORG WAY MERIDIAN, ID 83646-1262

Agent

Name Role Address
DENISE BAHADAR Agent 2061 N NYBORG WAY, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Denise Bahadar Manager 2061 N NYBORG WAY, MERIDIAN, ID 83646 2021-05-04

National Provider Identifier

NPI Number:
1952815623

Authorized Person:

Name:
DENISE BAHADAR
Role:
NP, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084933062

Filing

Filing Name Filing Number Filing date
Annual Report 0006245237 2025-05-08
Annual Report 0005721545 2024-05-03
Application for Reinstatement 0005294132 2023-06-27
Dissolution/Revocation - Administrative 0004913922 2022-09-15
Annual Report 0004267826 2021-05-04

USAspending Awards / Financial Assistance

Date:
2017-11-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
51300.00
Total Face Value Of Loan:
51300.00

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State