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ReIVitalize Therapy Infusions & Health Services, LLC

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Company Details

Name: ReIVitalize Therapy Infusions & Health Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Jun 2022 (3 years ago)
Business ID: 1345683
ZIP code: 38614
County: Coahoma
State of Incorporation: MISSISSIPPI
Principal Office Address: 220 Sunflower AvenueClarksdale, MS 38614
Historical names: ReIVitalize Therapy Infusions, PLLC
ReIVitalize Therapy Center, PLLC

Member

Name Role Address
Anna Clarissa Jones Member 1617 Herrin Street, Clarksdale, MS 38614

Agent

Name Role Address
Anna Jones Agent 220 Sunflower Avenue, Clarksdale, MS 38614

National Provider Identifier

NPI Number:
1104538768
Certification Date:
2023-05-17

Authorized Person:

Name:
MRS. ANNA JONES
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
251F00000X - Home Infusion Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6623512045

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-04-19 Annual Report For ReIVitalize Therapy Infusions & Health Services, LLC
Amendment Form Filed 2023-05-02 Amendment For ReIVitalize Therapy Infusions, PLLC
Annual Report LLC Filed 2023-04-15 Annual Report For ReIVitalize Therapy Infusions, PLLC
Amendment Form Filed 2022-06-24 Amendment For ReIVitalize Therapy Center, PLLC
Amendment Form Filed 2022-06-23 Amendment For ReIVitalize Therapy Center, PLLC
Formation Form Filed 2022-06-20 Formation For ReIVitalize Therapy Center, PLLC

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Date of last update: 18 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website