Service Provider Solutions, LLC

NPI #1790032480 in Savannah, Texas

Provider Information

NPI Number: 1790032480
Entity Type: Organization
Organization Name: Service Provider Solutions, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 13, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 1224 CHARLESTON LN
City: Savannah
State: Texas
ZIP Code: 76227-7819
Phone: (972) 896-7800

Authorized Official

Name: MS. LENESHIA M. DAVIS
Title: EXECUTIVE DIRECTOR
Phone: (972) 896-7800

Specialties & Taxonomy Codes

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

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