Organization
SENTRY REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON DIRK GODDARD (AR MANAGER)
(601) 824-9010
Entity
Organization
Contact information
Practice address
106A OFFICE PARK DR, BRANDON, MS 39042-2404
(601) 824-9010
(601) 824-9044
Mailing address
106A OFFICE PARK DR, BRANDON, MS 39042-2404
(601) 824-9010
(601) 824-9044
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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