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Full Moon Midwifery LLC

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Company Details

Name: Full Moon Midwifery LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 Dec 2023 (2 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 5531676
Place of Formation: IDAHO
File Number: 913857
ZIP code: 83801
County: Kootenai County
Principal Address: 33399 N ROBERTS RD ATHOL, ID 83801
Mailing Address: 1134 N 14TH ST COEUR D ALENE, ID 83814-4468

Agent

Name Role Address
Alicia Hoxie Agent 33399 N ROBERTS RD, ATHOL, ID 83801

Manager

Name Role Address Appointed On
Alicia Hoxie Manager 33399 N ROBERTS RD, ATHOL, ID 83801-5210 2024-11-13

National Provider Identifier

NPI Number:
1437965019
Certification Date:
2024-12-08

Authorized Person:

Name:
ALICIA HOXIE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
176B00000X - Midwife
Is Primary:
Yes

Contacts:

Fax:
2086016126

Filing

Filing Name Filing Number Filing date
Annual Report 0005980375 2024-11-13
Statement of Change of Business Mailing Address 0005980370 2024-11-13
Initial Filing 0005531676 2023-12-31

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State