Provider Demographics
NPI:1699017996
Name:C & S HEALTH AND REHABILITATIVE SERVICE, LLC
Entity Type:Organization
Organization Name:C & S HEALTH AND REHABILITATIVE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUKE-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-923-4295
Mailing Address - Street 1:5716 FAIRWOOD DR NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7840
Mailing Address - Country:US
Mailing Address - Phone:678-923-4295
Mailing Address - Fax:
Practice Address - Street 1:5716 FAIRWOOD DR NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7840
Practice Address - Country:US
Practice Address - Phone:678-923-4295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty