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Family Care Clinic, LLC

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Company Details

Name: Family Care Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Feb 2025 (7 months ago)
Business ID: 1470132
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Tiffany Houston Agent 2170 Hwy 51, Suite 1 & 2, Hernando, MS 38632

Manager

Name Role Address
Tiffany Houston Manager 2170 Hwy 51, Suite 1 & 2, Hernando, MS 38632

Unique Entity ID

Unique Entity ID:
RNP1WL4G8LG8
CAGE Code:
914R8
UEI Expiration Date:
2026-07-07

Business Information

Activation Date:
2025-07-08
Initial Registration Date:
2021-05-19

Commercial and government entity program

CAGE number:
914R8
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-08
SAM Expiration:
2026-07-07

Contact Information

POC:
CARLA TURNER

National Provider Identifier

NPI Number:
1699662783
Certification Date:
2025-06-24

Authorized Person:

Name:
TIFFANY HOUSTON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2024-12-30 Formation For Family Care Clinic, LLC

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website