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Care180 LLC

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Company Details

Name: Care180 LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Mar 2025 (6 months ago)
Business ID: 1478800
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Demarcus Keaton Agent 27 Auburn place, Hattiesburg, MS 39402

Member

Name Role Address
Ekeista Keaton Member 27 Auburn Place, HATTIESBURG, MS 39402

National Provider Identifier

NPI Number:
1073314001
Certification Date:
2025-03-24

Authorized Person:

Name:
EKEISTA KEATON
Role:
N.P. /OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8554524557

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-02 Formation For Care180 LLC

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Date of last update: 03 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website