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FALCON CREST PERSONAL CARE ASSISTED LIVING LLC

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Company Details

Name: FALCON CREST PERSONAL CARE ASSISTED LIVING LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Oct 2014 (11 years ago)
Business ID: 1052765
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 4 Falcon LaneHattiesburg, MS 39401

Manager

Name Role Address
Susan Parker Manager 4 Falcon Lane, Hattiesburg, MS 39401

Member

Name Role Address
Thomas O Oswalt Sr Member 4 Falcon Lane, Hattiesburg, MS 39401

Agent

Name Role Address
Peggy S Oswalt Agent 4 Falcon Lane, Hattiesburg, MS 39401

National Provider Identifier

NPI Number:
1831556331

Authorized Person:

Name:
SUSAN M PARKER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
Yes

Contacts:

Fax:
6013364598

Filings

Type Status Filed Date Description
Dissolution Filed 2017-08-25 Dissolution For FALCON CREST PERSONAL CARE ASSISTED LIVING LLC
Annual Report LLC Filed 2016-02-10 Annual Report For FALCON CREST PERSONAL CARE ASSISTED LIVING LLC
Annual Report LLC Filed 2015-10-01 Annual Report For FALCON CREST PERSONAL CARE ASSISTED LIVING LLC
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Amendment Form Filed 2015-07-05 Amendment For FALCON CREST PERSONAL CARE ASSISTED LIVING LLC
Formation Form Filed 2014-10-01 Formation For FALCON CREST PERSONAL CARE ASSISTED LIVING LLC

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Date of last update: 15 May 2025

Sources: Company Profile on Mississippi Secretary of State Website