Organization
WEZESHA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANNIAS TATE (PRESIDENT)
(870) 995-5275
Entity
Organization
Contact information
Practice address
2107 PLEASANT VALLEY DR, CONWAY, AR 72032-2544
(870) 995-5275
(501) 377-9013
Mailing address
2107 PLEASANT VALLEY DR, CONWAY, AR 72032-2544
(870) 995-5275
(501) 377-9013
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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