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Elite Care Family Practice Clinic LLC

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Company Details

Name: Elite Care Family Practice Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 11 Dec 2024 (9 months ago)
Business ID: 1468409
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Pilar Lyas Agent 5 Cottontail Way W, Purvis , MS 39475

Manager

Name Role Address
Kaylora Bingham Manager 53 Clear Springs Court, Hattiesburg, MS 39402
Pilar Dechasity Lyas Manager 5 Cottontail Way W, Purvis, MS 39475

National Provider Identifier

NPI Number:
1770391070
Certification Date:
2025-05-22

Authorized Person:

Name:
PILAR LYAS
Role:
CO OWNER/NP
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6012558811
Fax:
8665318054

Filings

Type Status Filed Date Description
Formation Form Filed 2024-12-11 Formation For Elite Care Family Practice Clinic LLC

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Date of last update: 24 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website