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CLC OF BOONEVILLE, LLC

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Company Details

Name: CLC OF BOONEVILLE, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Mar 2000 (25 years ago)
Business ID: 684520
ZIP code: 38829
County: Prentiss
State of Incorporation: MISSISSIPPI
Principal Office Address: 200 LONG STREETBOONEVILLE, MS 38829
Historical names: Longwood 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 DRIVE, TUPELO, MS 38801

National Provider Identifier

NPI Number:
1447240122

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
6627286944

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For CLC OF BOONEVILLE, LLC
Amendment Form Filed 2024-12-17 Amendment For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2024-03-18 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2023-01-19 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2022-04-12 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2021-03-24 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2020-03-23 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2019-03-19 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2018-03-08 Annual Report For CLC OF BOONEVILLE, LLC
Annual Report LLC Filed 2017-04-12 Annual Report For CLC OF BOONEVILLE, LLC

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website