Organization · Type 2 NPI
Fondren Cove Relay, Inc.
Assisted Living Facility (Mental Illness) · Jackson, MS
Practice location
4520 N State St
Jackson, MS 39206-5307
Mailing address
PO Box 55861
Jackson, MS 39296-5861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Another provider at this address
Other assisted living facility (mental illness) providers in Jackson
About NPI 1811232135
Fondren Cove Relay, Inc.'s National Provider Identifier is 1811232135, issued on Nov 28, 2012. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Jackson, MS. The record was last updated on Nov 28, 2012.