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TETON SERVICE COORDINATION LLC

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Company Details

Name: TETON SERVICE COORDINATION LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Apr 2024 (a year ago)
Financial Date End: 30 Apr 2026
Entity Number: 5695680
Place of Formation: IDAHO
File Number: 932300
ZIP code: 83616
County: Ada County
Principal Address: STE 166 1036 E IRON EAGLE DR EAGLE, ID 83616
Mailing Address: STE 166 1036 E IRON EAGLE DR EAGLE, ID 83616-6557

Agent

Name Role Address
JODI L COPELAND Agent 1104 N DEERHAVEN AVE, STAR, ID 83669

Member

Name Role Address Appointed On
TETON SUPPORTED LIVING LLC Member 1036 E IRON EAGLE DR, EAGLE, ID 83616 2025-06-18

National Provider Identifier

NPI Number:
1851136600
Certification Date:
2024-06-25

Authorized Person:

Name:
JODI COPELAND
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006323840 2025-06-18
Initial Filing 0005695680 2024-04-17

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State