Organization
SOUTHERN HOSPITALITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA T GRANT (CEO)
(214) 493-2313
Entity
Organization
Contact information
Practice address
212 BURBERRY, GRAND PRAIRIE, TX 75052-0033
(214) 493-2313
Mailing address
212 BURBERRY, GRAND PRAIRIE, TX 75052-0033
(214) 493-2313
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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