Company Details
| Name: |
Providence Health, PLLC |
| Jurisdiction: |
MISSISSIPPI |
| Business Type: |
Limited Liability Company |
| Status: |
Dissolved
|
| Effective Date: |
01 Jul 2021 (4 years ago)
|
| Business ID: |
1284873 |
| State of Incorporation: |
MISSISSIPPI |
Agent
| Name |
Role |
Address |
|
Irene Wilson
|
Agent
|
7075 Golden Oaks Loop W, Suite 10, Southaven, MS 38671
|
Organizer
| Name |
Role |
Address |
|
Jeffrey McCaskill
|
Organizer
|
6080 Getwell Road, Suite 300, Southaven, MS 38672
|
National Provider Identifier
Certification Date:
2021-06-03
Authorized Person:
Taxonomy:
Selected Taxonomy:
363L00000X - Nurse Practitioner
Contacts:
Filings
| Type |
Status |
Filed Date |
Description |
|
Dissolution
|
Filed
|
2022-03-17
|
Dissolution For Providence Health, PLLC
|
|
Formation Form
|
Filed
|
2021-05-25
|
Formation For Providence Health, PLLC
|
This company hasn't received any reviews.
Date of last update: 26 May 2025
Sources:
Company Profile on Mississippi Secretary of State Website
