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McNally Mobile Care PLLC

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Company Details

Name: McNally Mobile Care PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Sep 2024 (9 months ago)
Financial Date End: 30 Sep 2025
Entity Number: 5899445
Place of Formation: IDAHO
File Number: 954958
ZIP code: 83655
County: Payette County
Principal Address: 5089 SE 1ST 1/2 AVE NEW PLYMOUTH, ID 83655
Mailing Address: 5089 SE 1 1/2 AVE NEW PLYMOUTH, ID 83655-5254

Agent

Name Role Address
Crystal M McNally Agent 5089 SE 1ST 1/2 AVE, NEW PLYMOUTH, ID 83655

National Provider Identifier

NPI Number:
1982422564
Certification Date:
2024-10-18

Authorized Person:

Name:
CRYSTAL MCNALLY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8665314582

Filing

Filing Name Filing Number Filing date
Initial Filing 0005899445 2024-09-12

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State