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Core Dynamics LLC

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Company Details

Name: Core Dynamics LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Feb 2023 (2 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 5119705
Place of Formation: IDAHO
File Number: 864634
ZIP code: 83605
County: Canyon County
Principal Address: KRISTENE BLAIR 615 ROYAL ST CALDWELL, ID 83605
Mailing Address: KRISTENE BLAIR 615 ROYAL ST CALDWELL, ID 83605-1663

Agent

Name Role Address
Jennifer Fultz Agent 2723 E MARYLAND AVE, NAMPA, ID 83686

Manager

Name Role Address Appointed On
Kristene Blair Manager 615 ROYAL ST, CALDWELL, ID 83605 2024-01-03

Member

Name Role Address Appointed On
Benita LLC Member 2723 E MARYLAND AVE, NAMPA, ID 83686 2024-01-03

National Provider Identifier

NPI Number:
1144913252
Certification Date:
2023-06-02

Authorized Person:

Name:
KRISTENE BLAIR
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006046532 2025-01-03
Annual Report 0005537358 2024-01-03
Initial Filing 0005119705 2023-02-18

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Date of last update: 25 Jul 2025

Sources: Idaho Secretary of State