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Fortify Optimal Health LLC

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Company Details

Name: Fortify Optimal Health LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 May 2023 (2 years ago)
Financial Date End: 31 May 2026
Entity Number: 5221883
Place of Formation: IDAHO
File Number: 877415
ZIP code: 83854
County: Kootenai County
Principal Address: STE R 784 S CLEARWATER LOOP POST FALLS, ID 83854
Mailing Address: STE R 784 S CLEARWATER LOOP POST FALLS, ID 83854-9599

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

Member

Name Role Address Appointed On
Susannah Hancock Member 784 S CLEARWATER LOOP, POST FALLS, ID 83854-9599 2024-05-02

National Provider Identifier

NPI Number:
1437945391
Certification Date:
2025-04-09

Authorized Person:

Name:
SUSANNAH HANCOCK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006196927 2025-04-06
Annual Report 0005710943 2024-05-02
Initial Filing 0005221883 2023-05-03

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Date of last update: 25 Jul 2025

Sources: Idaho Secretary of State