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East Idaho Residential Habilitation LLC

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Company Details

Name: East Idaho Residential Habilitation LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Oct 2024 (8 months ago)
Financial Date End: 31 Oct 2025
Entity Number: 5929033
Place of Formation: IDAHO
File Number: 958177
ZIP code: 83406
County: Bonneville County
Principal Address: KAREN TORNKVIST 1061 CURLEW DR AMMON, ID 84306
Mailing Address: KAREN TORNKVIST 1061 CURLEW DR AMMON, ID 83406-4766

Agent

Name Role Address
Karen F Tornkvist Agent 1917 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1376340893
Certification Date:
2025-03-02

Authorized Person:

Name:
KAREN FAYE TORNKVIST
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005929033 2024-10-04

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State