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Magnolia Hospice Care LLC

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Company Details

Name: Magnolia Hospice Care LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 03 Dec 2007 (18 years ago)
Business ID: 923224
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Waller, Samuel W, Jr Agent 2213 South Lamar Blvd, Oxford, MS 38655

Member

Name Role Address
Samuel W Waller Jr Member 2213 South Lamar Blvd, Oxford, MS 38655
Stephen B Gregory Member 2288 Fowler Road, Courtland, MS 38620

Manager

Name Role Address
Samuel W Waller Jr Manager 2213 South Lamar Blvd, Oxford, MS 38655
Stephen B Gregory Manager 2288 Fowler Road, Courtland, MS 38620

National Provider Identifier

NPI Number:
1508044017

Authorized Person:

Name:
MR. STEPHEN BURTON GREGORY
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
Yes

Contacts:

Fax:
6622363951

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2007-12-03 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website