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CORE WELLNESS PLLC

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Company Details

Name: CORE WELLNESS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 556759
Place of Formation: IDAHO
File Number: 556759
ZIP code: 83605
County: Canyon County
Principal Address: 2416 CLEVELAND BLVD CALDWELL, ID 83605
Mailing Address: STE 120 2805 BLAINE ST CALDWELL, ID 83605-4686

Agent

Name Role Address
LILLIANA EMMANUELLI Agent 2805 BLAINE ST, STE 120, CALDWELL, ID 83605-4686

Manager

Name Role Address Appointed On
Lilliana Emmanuelli Manager 3307 CALDWELL BLVD #100, NAMPA, ID 83651 2021-06-03

National Provider Identifier

NPI Number:
1912418716
Certification Date:
2021-02-08

Authorized Person:

Name:
DR. EDGARDO IRIZARRY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006300576 2025-06-05
Statement of Change of Business Mailing Address 0006211444 2025-04-17
Annual Report 0005721556 2024-05-03
Annual Report 0005223338 2023-05-04
Annual Report 0004754386 2022-05-20

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State