S & S Residential LLC

NPI #1457583072 in Longview, Texas

Provider Information

NPI Number: 1457583072
Entity Type: Organization
Organization Name: S & S Residential LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 15, 2009
Last Updated: Dec 15, 2022

Practice Location

Address: 411 N FREDONIA ST STE 112
City: Longview
State: Texas
ZIP Code: 75601-6467
Phone: (430) 625-7410

Authorized Official

Name: SHESHIEKA HEARD
Title: PROGRAM DIRECTOR
Phone: (430) 625-7410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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