| EID | 589380 |
| Company Name | Southern Provident Life Insurance Company |
| Entity Type | Domestic Insurer |
| Status | Inactive |
| Formation Date | 10/26/1961 |
| Reason for Status | Unavailable |
| Approval Date | 10/26/1961 |
| Status Date | 12/26/2002 |
| OI Date | 10/26/1961 |
| Life Period | Perpetual |
| Domicile State | Arizona |
| Original Publish Date | 12/5/1961 |
| Registered Agent Name | C T Corporation System |
| RA Appointed Status | Active |
| Registered Agent Address | 3225 N Central Ave , Phoenix, AZ 85012, USA |