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Carson Legacy LLC

Company Details

Name: Carson Legacy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Dec 2024 (6 months ago)
Financial Date End: 31 Dec 2025
Entity Number: 6008421
Place of Formation: IDAHO
File Number: 966726
ZIP code: 83605
County: Canyon County
Principal Address: PAIGE CARSON 2423 S. GEORGIA AVE CALDWELL, ID 83605
Mailing Address: PAIGE CARSON 2423 S GEORGIA AVE CALDWELL, ID 83605-4477

Agent

Name Role Address
Paige L Carson Agent 2423 SOUTH GEORIGA AVE, CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1346052875
Certification Date:
2025-01-22

Authorized Person:

Name:
PAIGE CARSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006008421 2024-12-05

Date of last update: 23 May 2025

Sources: Idaho Secretary of State