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KODIAK HEALTHCARE, LLC

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Company Details

Legal Name: KODIAK HEALTHCARE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 19th 2025
Expiration date: 31 Mar 2026
UBI Number: 605 807 661
ZIP code: 99212
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8923 E EUCLID AVE, SPOKANE, WA, 99212-2048, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 11742, SPOKANE VLY, WA, 99211-1742, UNITED STATES

Contact Details

E-Mail: CONRAD@KODIAKGENERAL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
KODIAK MANAGEMENT, LLC Registered Agent

Key Officers & Management

Name Role
KODIAK MANAGEMENT, LLC Executor
KODIAK MANAGEMENT, LLC Governing Person

National Provider Identifier

NPI Number:
1245027309
Certification Date:
2025-04-22

Authorized Person:

Name:
SARAH JOY MANFRED
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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