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Grace & Mercy Family Medical Clinic, PLLC

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Company Details

Name: Grace & Mercy Family Medical Clinic, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 03 Oct 2007 (18 years ago)
Business ID: 920194
ZIP code: 39212
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 2106 Raymond Road, Ste. AJackson, MS 39212

Agent

Name Role Address
Odom-Funches, Rhonda Agent 2106 Raymond Rd, Ste. A, Jackson, MS 39212

Member

Name Role Address
Rhonda Odom-Funches Member 312 BUCKINGHAM COURT, RIDGELAND, MS 39157

Manager

Name Role Address
Rhonda Odom-Funches Manager 312 BUCKINGHAM COURT, RIDGEGLAND, MS 39157

National Provider Identifier

NPI Number:
1629267653

Authorized Person:

Name:
DR. RHONDA M. ODOM-FUNCHES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6013731774

Form 5500 Series

Employer Identification Number (EIN):
450575089
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report LLC Filed 2013-02-22 Annual Report LLC
Annual Report LLC Filed 2012-08-21 Annual Report LLC
Amendment Form Filed 2012-02-14 Amendment
Reinstatement Filed 2012-02-14 Reinstatement
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2007-10-03 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website