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Metamorphosis Rehabilitation, LLC

Company Details

Name: Metamorphosis Rehabilitation, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 May 2024 (a year ago)
Business ID: 1443103
ZIP code: 39211
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5170 Sunnyvale DriveJackson, MS 39211

Agent

Name Role Address
M L Burks Agent 5170 Sunnyvale Drive, Jackson, MS 39211

Manager

Name Role Address
M L Burks Manager 5170 Sunnyvale Drive, Jackson, MS 39211

National Provider Identifier

NPI Number:
1295532877
Certification Date:
2025-02-28

Authorized Person:

Name:
MYNA LAQUISHA BURKS
Role:
OWNER/SENIOR CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QR0208X - Mobile Radiology Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
No

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-13 Annual Report For Metamorphosis Rehabilitation, LLC
Formation Form Filed 2024-05-20 Formation For Metamorphosis Rehabilitation, LLC

Date of last update: 14 Apr 2025

Sources: Mississippi Secretary of State