Provider Demographics
NPI:1922868579
Name:S & S ADULT DAY HEALTH, LLC
Entity Type:Organization
Organization Name:S & S ADULT DAY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDLE-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-537-0216
Mailing Address - Street 1:475 CINDERELLA LN SE
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:GA
Mailing Address - Zip Code:39842-1850
Mailing Address - Country:US
Mailing Address - Phone:229-695-9075
Mailing Address - Fax:229-329-4474
Practice Address - Street 1:475 CINDERELLA LN SE
Practice Address - Street 2:
Practice Address - City:DAWSON
Practice Address - State:GA
Practice Address - Zip Code:39842-1850
Practice Address - Country:US
Practice Address - Phone:229-695-9075
Practice Address - Fax:229-329-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care