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EAGLE HEALTH AND WELLNESS, INC.

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Company Details

Name: EAGLE HEALTH AND WELLNESS, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Nov 2009 (16 years ago)
Financial Date End: 30 Nov 2017
Date dissolved: 27 Feb 2018
Entity Number: 559223
Place of Formation: IDAHO
File Number: 0000559223
ZIP code: 83704
County: Ada County
Mailing Address: 6727 W USTICK RD BOISE, ID 83704

National Provider Identifier

NPI Number:
1083937049

Authorized Person:

Name:
DR. KATHERINE MICHELLE ELSTUN
Role:
PRESIDENT AND MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2089384099

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0003202513 2017-07-06
Annual Report 0003202512 2016-09-27
Annual Report 0003202511 2015-10-17
Annual Report 0003202510 2014-10-09
Annual Report 0003202509 2013-09-23

USAspending Awards / Financial Assistance

Date:
2010-10-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
40000.00
Total Face Value Of Loan:
40000.00

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State