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Healthy Living Family Medical Center LLC

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Company Details

Name: Healthy Living Family Medical Center LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Sep 2016 (9 years ago)
Business ID: 1100613
ZIP code: 38746
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 420 ASHLAND AVENUEGUNNISON, MS 38746

Agent

Name Role Address
Wycondaroga E Thomas Agent 420 Ashland Avenue, Gunnison, MS 38746

Organizer

Name Role Address
Wycondaroga E Thomas Organizer 420 Ashland Avenue, Gunnison, MS 38746

Manager

Name Role Address
WYCONDAROGA E THOMAS Manager P O BOX 49, ROSEDALE, MS 38769

Member

Name Role Address
WYCONDAROGA E THOMAS Member P O BOX 49, ROSEDALE, MS 38769

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
WYCONDA THOMAS
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Woman Owned
User ID:
P2971718

Unique Entity ID

Unique Entity ID:
FJYGGZSQ9M25
CAGE Code:
9HWU4
UEI Expiration Date:
2026-01-27

Business Information

Activation Date:
2025-01-28
Initial Registration Date:
2023-01-19

National Provider Identifier

NPI Number:
1154845840
Certification Date:
2023-02-03

Authorized Person:

Name:
WYCONDAROGA E THOMAS
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6629875025

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-21 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2024-03-14 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2023-05-22 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2022-04-15 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2021-05-18 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2020-09-14 Annual Report For Healthy Living Family Medical Center LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-03-14 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2018-03-08 Annual Report For Healthy Living Family Medical Center LLC
Correction Amendment Form Filed 2017-07-14 Correction For Healthy Living Family Medical Center LLC

USAspending Awards / Financial Assistance

Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 04 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website