Organization
S-N-S HOUSE OF CARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLONDA PRUITT (OWNER/PROGRAM DIRECTOR)
(903) 215-9411
Entity
Organization
Contact information
Practice address
205 E US HIGHWAY 80, WHITE OAK, TX 75693-2103
(430) 625-7183
(430) 625-7177
Mailing address
3549 GILMER RD STE I, LONGVIEW, TX 75604-1216
(903) 215-9411
(430) 625-7208
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/11/2018
Last updated
08/29/2023
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