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Phoenix SpecialtyCare, LLC

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Company Details

Name: Phoenix SpecialtyCare, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 12 Oct 2006 (19 years ago)
Business ID: 900468
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Kirkland, Thomas L, Jr Agent 600 Concourse, 1076 Highland Colony Pkwy, Ridgeland, MS 39157

Member

Name Role Address
Roland Wall Member 199 INTERSTATE DRIVE, SUITE C, RICHLAND, MS 39218

National Provider Identifier

NPI Number:
1053495515

Authorized Person:

Name:
MR. ROLAND B WALL III
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report LLC Filed 2013-04-15 Annual Report LLC
Annual Report LLC Filed 2012-04-15 Annual Report LLC
Annual Report LLC Filed 2011-04-15 Annual Report LLC
Amendment Form Filed 2007-09-13 Amendment
Formation Form Filed 2006-10-12 Formation

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Date of last update: 06 May 2025

Sources: Company Profile on Mississippi Secretary of State Website