# WEZESHA GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477404630
- **Authorized official:** MR. ANNIAS TATE (PRESIDENT)
- **Authorized official phone:** (870) 995-5275

## Contact information

- **Practice address:** 2107 PLEASANT VALLEY DR, CONWAY, AR 72032-2544
- **Practice address phone:** (870) 995-5275
- **Practice address fax:** (501) 377-9013
- **Mailing address:** 2107 PLEASANT VALLEY DR, CONWAY, AR 72032-2544
- **Mailing address phone:** (870) 995-5275
- **Mailing address fax:** (501) 377-9013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2026
- **Last updated:** 02/04/2026