# SENTRY REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881015147
- **Authorized official:** MR. CAMERON DIRK GODDARD (AR MANAGER)
- **Authorized official phone:** (601) 824-9010

## Contact information

- **Practice address:** 106A OFFICE PARK DR, BRANDON, MS 39042-2404
- **Practice address phone:** (601) 824-9010
- **Practice address fax:** (601) 824-9044
- **Mailing address:** 106A OFFICE PARK DR, BRANDON, MS 39042-2404
- **Mailing address phone:** (601) 824-9010
- **Mailing address fax:** (601) 824-9044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2014
- **Last updated:** 01/03/2014