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Organization

WESTSIDE SPIRITUAL FELLOWSHIP LLC

Active
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Organization

WESTSIDE SPIRITUAL FELLOWSHIP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUSTRADA R TAYLOR SR. (ADMINISTRATOR)
(281) 660-7945
Entity
Organization

Contact information

Practice address
16920 KUYKENDAHL RD STE 220, HOUSTON, TX 77068-1636
(281) 660-7945
Mailing address
6230 W WILLOW BLUFF RD, KATY, TX 77449-8408
(281) 660-7945
(281) 404-9008

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
10/08/2013
Last updated
10/08/2013
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