NPI 1871088922

Tate Enterprises, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jackson, MS

Practice location

Address: 1105 Laura Ave, Jackson, MS 39209-7008
Phone: (601) 940-8074
Mailing address: 1021 Meloan Dr, Jackson, MS 39209-7012

Authorised official

Name: Zenotha Robinson
Title: Ceo
Phone: (601) 940-8074

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1871088922
Entity type: Organization
NPI issued: 29 Jun 2018
Record last updated: 29 Jun 2018

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.