NPI 1477404630

Wezesha Group LLC

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Conway, AR

Practice location

Address: 2107 Pleasant Valley Dr, Conway, AR 72032-2544
Phone: (870) 995-5275
Fax: (501) 377-9013

Authorised official

Name: Annias Tate
Title: President
Phone: (870) 995-5275

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1477404630
Entity type: Organization
NPI issued: 4 Feb 2026
Record last updated: 4 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.