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PHYSICIANS HOSPICE, INC.

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Company Details

Name: PHYSICIANS HOSPICE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 23 Sep 1999 (26 years ago)
Business ID: 676444
ZIP code: 38646
County: Quitman
State of Incorporation: MISSISSIPPI
Principal Office Address: P O BOX 303MARKS, MS 38646

Incorporator

Name Role Address
REX D HARVEY Incorporator P O BOX 1084, #600, JACKSON, MS 39215-1084

Director

Name Role
James E Warrington Director
Richard E Waller Director

Vice President

Name Role
James E Warrington Vice President

President

Name Role
Richard E Waller President

Agent

Name Role Address
Goodwin, Vikki P. Agent 1022 Martin Luther King Drive;P.O. Box 289, Marks, MS 38646-0289

National Provider Identifier

NPI Number:
1619088531

Authorized Person:

Name:
DR. RICHARD E WALLER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
6623266348

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2008-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2008-09-25 Notice to Dissolve/Revoke
Annual Report Filed 2007-03-29 Annual Report
Annual Report Filed 2006-04-14 Annual Report
Annual Report Filed 2005-11-08 Annual Report
Amendment Form Filed 2005-11-07 Amendment
Annual Report Filed 2004-06-08 Annual Report
Annual Report Filed 2003-09-03 Annual Report
Annual Report Filed 2002-06-28 Annual Report
Annual Report Filed 2001-11-30 Annual Report

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Date of last update: 22 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website