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Preventive Care Health Services, LLC

Company Details

Name: Preventive Care Health Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 05 Apr 2011 (14 years ago)
Business ID: 981818
ZIP code: 38676
County: Tunica
State of Incorporation: MISSISSIPPI
Principal Office Address: 2105 Stover RoadTUNICA, MS 38676

Member

Name Role Address
Johnny Hardy Member POST OFFICE BOX 1332, HAWTHRONE, CA 902511332
Lydia Franklin Member POST BOX 458, TUNICA, MS 38676

Agent

Name Role Address
Franklin, Lydia Agent 2073 Old Highway 61 North ;P O Box 458, Tunica, MS 38676

National Provider Identifier

NPI Number:
1538120258

Authorized Person:

Name:
MS. LYDIA MARIE FRANKLIN
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6623577621

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: Preventive Care Health Services, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Preventive Care Health Services, LLC
Reinstatement Filed 2020-04-20 Reinstatement For Preventive Care Health Services, LLC
Admin Dissolution Filed 2013-10-01 Admin Dissolution
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report LLC Filed 2012-01-30 Annual Report LLC
Formation Form Filed 2011-04-05 Formation

OSHA's Inspections within Industry

Inspection Summary

Date:
2009-02-25
Type:
FollowUp
Address:
2073 OLD HIGHWAY 61, TUNICA, MS, 38676
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2008-08-29
Type:
Complaint
Address:
2073 OLD HIGHWAY 61, TUNICA, MS, 38676
Safety Health:
Health
Scope:
Partial

Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website