Provider Demographics
NPI:1043583685
Name:S&S DIET REHAB CENTER LLC
Entity Type:Organization
Organization Name:S&S DIET REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURY
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-908-5028
Mailing Address - Street 1:316 W BELT LINE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2049
Mailing Address - Country:US
Mailing Address - Phone:972-291-1609
Mailing Address - Fax:972-291-1610
Practice Address - Street 1:316 W BELT LINE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2049
Practice Address - Country:US
Practice Address - Phone:972-291-1609
Practice Address - Fax:972-291-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX671880000261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation