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Pine Valley Senior Living LLC

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Company Details

Name: Pine Valley Senior Living LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 29 Mar 2025 (3 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6177199
Place of Formation: NEVADA
File Number: 985943
ZIP code: 83616
County: Ada County
Principal Address: SUITE 150 1675 E. RIVERSIDE DR. EAGLE, ID 83616
Mailing Address: CORP LEGAL STE 150 1675 E RIVERSIDE DR EAGLE, ID 83616-7584

Agent

Name Role Address
UNIVERSAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

National Provider Identifier

NPI Number:
1336901834
Certification Date:
2024-01-29

Authorized Person:

Name:
LEE JOHNSON
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006288277 2025-05-29
Initial Filing 0006177199 2025-03-29

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State