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BREATH OF LIFE HEALTH CARE PLLC

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Company Details

Name: BREATH OF LIFE HEALTH CARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Jul 2017 (8 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 564223
Place of Formation: IDAHO
File Number: 564223
ZIP code: 83814
County: Kootenai County
Principal Address: 8607 W DRIFTWOOD DRIVE COEUR D ALENE, ID 83814
Mailing Address: MARY-ALICE JAEGER MD STE 201 1717 LINCOLN WAY COEUR D ALENE, ID 83814-2556

Manager

Name Role Address Appointed On
Breath of Life Health Care PLLC Manager 1717 LINCOLN WAY, COEUR D ALENE, ID 83814 2021-07-10

Agent

Name Role Address
MARY-ALICE JAEGER MD Agent 8607 WEST DRIFTWOOD DRIVE, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1144720061
Certification Date:
2023-06-01

Authorized Person:

Name:
MARY ALICE ELIZABETH JAEGER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QS1201X - Sleep Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2087588535

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006260044 2025-05-19
Annual Report 0005780782 2024-06-13
Annual Report 0005316139 2023-07-11
Annual Report 0004799281 2022-07-01
Statement of Change of Business Mailing Address 0004456923 2021-10-21

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State