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4D Healthcare, LLC
Company Details
Name: |
4D Healthcare, LLC |
Jurisdiction: |
MISSISSIPPI |
Business Type: |
Limited Liability Company |
Status: |
Good Standing
|
Effective Date: |
23 Oct 2022 (3 years ago)
|
Business ID: |
1363200 |
ZIP code: |
39701
|
County: |
Lowndes |
State of Incorporation: |
MISSISSIPPI |
Principal Office Address: |
1324 Military Road Columbus , MS 39701 |
Agent
Name |
Role |
Address |
Tanya Cockrell
|
Agent
|
76 Kings Path, Columbus, MS 39702
|
Manager
Name |
Role |
Address |
Tanya Cockrell
|
Manager
|
76 Kings Path, Columbus, MS 39702
|
Organizer
Name |
Role |
Address |
Tanya Cockrell
|
Organizer
|
76 Kings Path, Columbus, MS 39702
|
National Provider Identifier
Certification Date:
2025-04-25
Authorized Person:
Name:
MRS. TANYA S COCKRELL
Taxonomy:
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Contacts:
This company hasn't received any reviews.
Date of last update: 31 May 2025
Sources:
Company Profile on Mississippi Secretary of State Website