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Hope Center Clinic LLC

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Company Details

Name: Hope Center Clinic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 Jul 2023 (2 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 5336859
Place of Formation: IDAHO
File Number: 891324
ZIP code: 83709
County: Ada County
Principal Address: 640 S WERNER AVE BOISE, ID 83709

Agent

Name Role Address
GUILTY MWAMBA Agent 640 S WERNER AVE, BOISE, ID 83709

Member

Name Role Address Appointed On
GUILTY MWAMBA Member 640 S WERNER AVE, BOISE, ID 83709 2024-07-29

National Provider Identifier

NPI Number:
1558189795
Certification Date:
2024-09-27

Authorized Person:

Name:
MARCEE JONES
Role:
CREDENTIALING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
4108241482

Filing

Filing Name Filing Number Filing date
Annual Report 0005831731 2024-07-29
Initial Filing 0005336859 2023-07-31

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State