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Legacy Family Care Clinic LLC

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Company Details

Name: Legacy Family Care Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 12 Dec 2024 (9 months ago)
Business ID: 1468527
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Tarah Vakili Chatham Agent 2005 Adeline St, Hattiesburg, MS 39401

Organizer

Name Role Address
Tarah v Chatham Organizer 2005 Adeline St, Hattiesburg, MS 39401

National Provider Identifier

NPI Number:
1003620675
Certification Date:
2025-05-13

Authorized Person:

Name:
MRS. TARAH CHATHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6013366615

Filings

Type Status Filed Date Description
Formation Form Filed 2024-12-12 Formation For Legacy Family Care Clinic LLC

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website