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Quality Family Medical Clinic, LLC

Company Details

Name: Quality Family Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Feb 2023 (2 years ago)
Business ID: 1380299
ZIP code: 38701
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 1440 Highway 1 SouthGreenville, MS 38701

Organizer

Name Role Address
Josh Grisham Organizer 193 South Commerce ST, STE 102, Tupelo, MS 38804

Manager

Name Role Address
Hosea Jeremiah Haywood Sr Manager 603 West Martin Luther King St, Mound Bayou, MS 38762
Vanessa Arnette Haywood Manager 603 West Martin Luther King St, Mound Bayou, MS 38762

Member

Name Role Address
Hosea Jeremiah Haywood Sr Member 603 West Martin Luther King St, Mound Bayou, MS 38762
Vanessa Arnette Haywood Member 603 West Martin Luther King St, Mound Bayou, MS 38762

Agent

Name Role Address
Hosea Haywood Agent 603 West Martin Luther King St., Mound Bayou, MS 38762

National Provider Identifier

NPI Number:
1912606062
Certification Date:
2025-04-18

Authorized Person:

Name:
MRS. VANESSA ARNETTE HAYWOOD
Role:
NP
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Amendment Form Filed 2025-05-03 Amendment For Quality Family Medical Clinic, LLC
Annual Report LLC Filed 2025-05-03 Annual Report For Quality Family Medical Clinic, LLC
Annual Report LLC Filed 2024-01-02 Annual Report For Quality Family Medical Clinic, LLC
Formation Form Filed 2023-02-24 Formation For Quality Family Medical Clinic, LLC

Date of last update: 01 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website