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Blue Bird Day PNW, LLC

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Company Details

Name: Blue Bird Day PNW, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Nov 2024 (8 months ago)
Financial Date End: 30 Nov 2025
Entity Number: 5989024
Place of Formation: IDAHO
File Number: 964716
ZIP code: 83854
County: Kootenai County
Principal Address: 820 N WILLIAM ST POST FALLS, ID 83854
Mailing Address: PO BOX 214 HAYDEN, ID 83835-0214

Agent

Name Role Address
Candi Anderson Agent 10633 N CRIMSON DRIVE, HAYDEN, ID 83835

National Provider Identifier

NPI Number:
1326851098

Authorized Person:

Name:
JENNIFER MAYBERRY
Role:
CLINICAL ADMINISTRATION
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005989024 2024-11-25

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State