| Organization Name: | S&S DIET REHAB CENTER LLC |
| NPI Number: | 1043583685 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE S TURNER (TREASURY) |
| Mailing Address: | 316 W Belt Line Rd Suite 204 Cedar Hill |
| State: | TX US |
| Postal Code: | 751042049 |
| Phone Number: | 9722911609 |
| Fax Number: | 9722911610 |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 671880000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |