Fondren Cove Relay, Inc.
NPI #1811232135 in Jackson, Mississippi
Provider Information
- NPI Number
- 1811232135
- Entity Type
- Organization
- Organization Name
- Fondren Cove Relay, Inc.
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Nov 28, 2012
- Last Updated
- Nov 28, 2012
Practice Location
- Address
- 4520 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-5307
- Phone
- (601) 981-3945
Authorized Official
- Name
- MR. CAMMIE E KITCHENS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 981-3945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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