NPI: 1811232135
Provider Name: FONDREN COVE RELAY, INC.
Doing Business As: FONDREN COVE ASSITED LIVING
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
4520 N STATE ST
JACKSON, MS
ZIP 39206
Phone: (601) 981-3945
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FONDREN COVE RELAY, INC. is an assisted living and mental illness assisted living facility in Jackson, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. FONDREN COVE RELAY, INC. NPI is 1811232135. The provider is registered as an organization entity type.
The provider Is Doing Business As Fondren Cove Assited Living.
The provider's business location address is:
4520 N STATE ST
JACKSON, MS
ZIP 39206-307
Phone: (601) 981-3945
The provider's authorized official is Cammie E Kitchens .
The authorized official title is Executive Director and has the following contact phone number (601) 981-3945.
The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.