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River City Primary Care and Wellness Center, LLC

Company Details

Name: River City Primary Care and Wellness Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Feb 2024 (a year ago)
Business ID: 1431815
ZIP code: 39581
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 3702 Jefferson Avenue Pascagoula, MS 39581

Agent

Name Role Address
Yolanda Patrice Long Agent 3702 Jefferson Street, Pascagoula, MS 39581

Organizer

Name Role Address
Yolanda Patrice Long Organizer 4314 Bent Tree Road, Eight Mile, AL 36613

Member

Name Role Address
Yolanda Patrice Long Member 4314 Bent Tree Road, Eight Mile, AL 36613

National Provider Identifier

NPI Number:
1669231676
Certification Date:
2024-03-14

Authorized Person:

Name:
YOLANDA LONG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2282054593

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-12-19 Annual Report For River City Primary Care and Wellness Center, LLC
Formation Form Filed 2024-02-29 Formation For River City Primary Care and Wellness Center, LLC

Date of last update: 13 Apr 2025

Sources: Mississippi Secretary of State