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Riverbend Healthcare, PLLC

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Company Details

Name: Riverbend Healthcare, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Mar 2021 (4 years ago)
Business ID: 1267976
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 2011 Hwy 61 NorthVicksburg, MS 39180

Agent

Name Role Address
Manivanh A. Prudhomme Agent 2011 Hwy 61 North, Vicksburg, MS 39180

Organizer

Name Role Address
Robert G Ellis Organizer 901 Belmont Street, Vicksburg, MS 39180

Member

Name Role Address
Manivanh A Prudhomme Member 2011 Hwy 61 North, Vicksburg, MS 39180

National Provider Identifier

NPI Number:
1417620071
Certification Date:
2023-01-17

Authorized Person:

Name:
MANIVANH A PRUDHOMME
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2023-05-24 Dissolution For Riverbend Healthcare, PLLC
Annual Report LLC Filed 2023-05-22 Annual Report For Riverbend Healthcare, PLLC
Annual Report LLC Filed 2022-06-17 Annual Report For Riverbend Healthcare, PLLC
Formation Form Filed 2021-03-23 Formation For Riverbend Healthcare, PLLC

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Date of last update: 25 May 2025

Sources: Company Profile on Mississippi Secretary of State Website