National Provider Identifier Database

WEZESHA GROUP LLC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

WEZESHA GROUP LLC
2107 PLEASANT VALLEY DR
CONWAY, AR72032-2544
Phone: 870-995-5275
Fax: 501-377-9013
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for WEZESHA GROUP LLC

NPI Number 1477404630
Legal business name
LBN
WEZESHA GROUP LLC
Authorized official ANNIAS TATE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/04/2026
Last updated 02/04/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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