Whalio Doctors

NPI 1114599552

Spirit of Excellence Health Solutions LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Fort Worth, TX

Practice location

Address
2005 Langston St, Fort Worth, TX 76105-3622
Phone
(168) 258-2371

Authorised official

Name
Whitney Hudson
Title
Managing Member
Phone
(682) 582-3719

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1114599552
Entity type
Organization
NPI issued
14 Jul 2021
Record last updated
14 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.