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Canyon Primary Care LLC
Company Details
| Name: |
Canyon Primary Care LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
16 Jan 2024 (a year ago)
|
| Financial Date End: |
31 Jan 2026 |
| Entity Number: |
5563255 |
| Place of Formation: |
IDAHO |
| File Number: |
916369 |
| ZIP code: |
83301
|
| County: |
Twin Falls County |
| Principal Address: |
HAILEE LI FNP-BC 1215 CHENEY DR W # W TWIN FALLS, ID 83301 |
| Mailing Address: |
HAILEE LI FNP 1215 CHENEY DR #W TWIN FALLS, ID 83301-0146 |
Agent
| Name |
Role |
Address |
|
Hailee Li
|
Agent
|
1215 CHENEY DR #W, HAILEE LI, TWIN FALLS, ID 83301
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Hailee Li
|
Manager
|
1215 CHENEY DR #W, TWIN FALLS, ID 83301
|
2025-01-05
|
National Provider Identifier
Certification Date:
2024-01-25
Authorized Person:
Taxonomy:
Selected Taxonomy:
363L00000X - Nurse Practitioner
Contacts:
This company hasn't received any reviews.
Date of last update: 22 May 2025
Sources:
Idaho Secretary of State
