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Root & Renew Pro-Health Solutions LLC

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Company Details

Name: Root & Renew Pro-Health Solutions LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Feb 2024 (a year ago)
Financial Date End: 28 Feb 2025
Date dissolved: 13 May 2025
Entity Number: 5578778
Place of Formation: IDAHO
File Number: 919254
ZIP code: 83221
County: Bingham County
Principal Address: 586 W 30 S BLACKFOOT, ID 83221
Mailing Address: PO BOX 155 MORELAND, ID 83256-0155

Agent

Name Role Address
Jason Balls Agent 586 W 30 S, BLACKFOOT, ID 83221

National Provider Identifier

NPI Number:
1699580274
Certification Date:
2025-02-10

Authorized Person:

Name:
JASON BALLS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005578778 2024-02-02

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State