Organization
SPIRIT OF EXCELLENCE HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY HUDSON (MANAGING MEMBER)
(682) 582-3719
Entity
Organization
Contact information
Practice address
2005 LANGSTON ST, FORT WORTH, TX 76105-3622
(168) 258-2371
Mailing address
2005 LANGSTON ST, FORT WORTH, TX 76105-3622
(168) 258-2371
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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