Organization
S & S RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHESHIEKA HEARD (PROGRAM DIRECTOR)
(430) 625-7410
Entity
Organization
Contact information
Practice address
411 N FREDONIA ST STE 112, LONGVIEW, TX 75601-6467
(430) 625-7410
(430) 625-7409
Mailing address
411 N FREDONIA ST STE 112, LONGVIEW, TX 75601-6467
(430) 625-7410
(430) 625-7409
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2009
Last updated
12/15/2022
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