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Idaho Voice and Swallow Center LLC

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Company Details

Name: Idaho Voice and Swallow Center LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Dec 2023 (a year ago)
Financial Date End: 31 Dec 2025
Entity Number: 5523139
Place of Formation: IDAHO
File Number: 912340
ZIP code: 83634
County: Ada County
Principal Address: 380 W SCREECH OWL DR KUNA, ID 83634
Mailing Address: 380 W SCREECH OWL DR KUNA, ID 83634-3528

Agent

Name Role Address
Blake Edes Agent 380 W SCREECH OWL DR, KUNA, ID 83634

Member

Name Role Address Appointed On
Blake Edes Member 380 W SCREECH OWL DR, KUNA, ID 83634-3528 2024-11-11

National Provider Identifier

NPI Number:
1720845316
Certification Date:
2024-05-23

Authorized Person:

Name:
BLAKE EDES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Fax:
2082744474

Filing

Filing Name Filing Number Filing date
Annual Report 0005976973 2024-11-11
Initial Filing 0005523139 2023-12-20

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State