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Innovative Healthcare Management LLC

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Company Details

Name: Innovative Healthcare Management LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Apr 2024 (a year ago)
Business ID: 1433157
State of Incorporation: ARIZONA
Principal Office Address: 11070 N 24th AvePHOENIX, AZ 85029

Agent

Name Role Address
Katrina M Dryer Agent 3078 Hwy 98 E., MCCOMB, MS 39648

President

Name Role Address
Katrina Dryer President 3078 Hwy 98 E., MCCOMB, MS 39648

National Provider Identifier

NPI Number:
1861622722
Certification Date:
2024-08-13

Authorized Person:

Name:
MRS. KATRINA MARIA DRYER
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4804780633

Filings

Type Status Filed Date Description
Formation Form Filed 2024-03-08 Formation For Innovative Healthcare Management LLC

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Date of last update: 22 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website