Organization · Type 2 NPI
Tate Enterprises, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, MS
Practice location
1105 Laura Ave
Jackson, MS 39209-7008
Mailing address
1021 Meloan Dr
Jackson, MS 39209-7012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1871088922
Tate Enterprises, LLC's National Provider Identifier is 1871088922, issued on Jun 29, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, MS. The record was last updated on Jun 29, 2018.