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Fondren Cove Relay, Inc. — NPI 1811232135, Jackson, MS | NPI Central

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NPI 1811232135

OrganizationActive

Fondren Cove Relay, Inc.

NPI 1811232135 · Assisted Living Facility (Mental Illness) · Jackson, MS

Provider details

NPI number: 1811232135
Entity type: Organization
Primary specialty: Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Cammie Kitchens, Executive Director(601) 981-3945

Specialties & taxonomies

Assisted Living Facility (Mental Illness)Primary3104A0625X
Nursing & Custodial Care Facilities

Practice location

4520 N State St

Jackson, MS 39206-5307

Phone: (601) 981-3945

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 55861

Jackson, MS 39296-5861

Other names (DBA / former)

Doing business as: Fondren Cove Assited Living

Registry dates

Enumerated: 2012-11-28
Last updated: 2012-11-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.