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CORE WELLNESS CENTER

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Company Details

Name: CORE WELLNESS CENTER
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 13 Jun 2017 (8 years ago)
Entity Number: 588100
Place of Formation: IDAHO
File Number: 0000588100
ZIP code: 83646
County: Ada County
Mailing Address: 3400 E RIVER VALLEY ST APT A407 MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1801301353
Certification Date:
2025-01-15

Authorized Person:

Name:
DR. LILLIANA EMMANUELLI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000588100 2017-06-13

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State