Organization
TATE ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZENOTHA ROBINSON (CEO)
(601) 940-8074
Entity
Organization
Contact information
Practice address
1105 LAURA AVE, JACKSON, MS 39209-7008
(601) 940-8074
Mailing address
1021 MELOAN DR, JACKSON, MS 39209-7012
(601) 940-8074
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MS
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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