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A FULL LIFE HOME HEALTH, LEWISTON, INC.

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Company Details

Name: A FULL LIFE HOME HEALTH, LEWISTON, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 07 Nov 2006 (19 years ago)
Financial Date End: 30 Nov 2008
Date dissolved: 12 Jan 2009
Entity Number: 514622
Place of Formation: IDAHO
File Number: 0000514622
ZIP code: 83835
County: Kootenai County
Mailing Address: 9297 N GOVERNMENT WY STE C HAYDEN, ID 83835

National Provider Identifier

NPI Number:
1861533176

Authorized Person:

Name:
MRS. HOPE BRACKETT
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2087465694

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000920673 2009-01-12
Annual Report 0003100575 2007-12-18
Initial Filing 0000514622 2006-11-07

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State