institution
Tate Enterprises, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Mississippi
NPI 1871088922

Tate Enterprises, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jackson, MS. Tate Enterprises, Llc practices in Jackson, MS. The NPI Number for Tate Enterprises, Llc is 1871088922 and holds a License No. (Mississippi).

The current practice location address for Tate Enterprises, Llc is 1105 Laura Ave, Jackson, MS and can be reached out via phone at 601-940-8074.

Location: 1105 Laura Ave, Jackson, MS, 39209-7012
institution
Provider Profile Details
NPI Number
1871088922
Provider Name
Tate Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
1105 Laura Ave, Jackson, MS, 39209-7012
Phone Number
601-940-8074
Fax Number
Provider Enumeration Date
06/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 Laura Ave
City
State
Zip
39209-7008
Phone Number
601-940-8074
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Laura Ave
City
State
Zip
39209-7008
Phone Number
601-940-8074
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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