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CLC OF FULTON, LLC

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Company Details

Name: CLC OF FULTON, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 28 Feb 2000 (25 years ago)
Business ID: 683155
ZIP code: 38843
County: Itawamba
State of Incorporation: MISSISSIPPI
Principal Office Address: 907 EAST WALKER STREETFULTON, MS 38843
Historical names: Courtyards Community Living Center DBA

Member

Name Role Address
Douglas M Wright Jr Member 2844 Traceland Drive, TUPELO, MS 38801

Agent

Name Role Address
Kelsey Carruth Agent 2844 Traceland Dr., Tupelo, MS 38801

National Provider Identifier

NPI Number:
1912997651

Authorized Person:

Name:
MR. DOUGLAS M. WRIGHT JR.
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6626802659
Fax:
6628626143

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For CLC OF FULTON, LLC
Amendment Form Filed 2025-03-11 Amendment For CLC OF FULTON, LLC
Agent Resignation Filed 2024-10-31 Agent Resignation For Kristen Minch
Annual Report LLC Filed 2024-03-18 Annual Report For CLC OF FULTON, LLC
Annual Report LLC Filed 2023-01-19 Annual Report For CLC OF FULTON, LLC
Annual Report LLC Filed 2022-04-12 Annual Report For CLC OF FULTON, LLC
Registered Agent Change of Address Filed 2022-01-10 Agent Address Change For Kristen Minch
Annual Report LLC Filed 2021-03-23 Annual Report For CLC OF FULTON, LLC
Annual Report LLC Filed 2020-03-23 Annual Report For CLC OF FULTON, LLC
Annual Report LLC Filed 2019-03-19 Annual Report For CLC OF FULTON, LLC

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-05-14
Type:
Planned
Address:
907 E. WALKER, FULTON, MS, 38843
Safety Health:
Health
Scope:
Complete

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website