Kesha Lasha Phillips

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Somerville, TX

NPI 1821399403 · NPPES record last updated Nov 12, 2010

Key facts

NPI
1821399403
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
KESHA LASHA PHILLIPS
Practice address
2195 Taylor Rd
Somerville, TX 77879-1185
Phone
(979) 739-7894
NPI assigned
Nov 12, 2010
Organization subpart
No

Authorized official

Name
Mrs. Kesha Lasha Phillips
Title
Administrator
Phone
(979) 739-7894

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X TX Yes

Addresses

Primary practice location

2195 Taylor Rd
Somerville, TX 77879-1185

Mailing address

PO Box 1185
Somerville, TX 77879-1185
Phone (979) 739-7894

Other names

  • Embracing Angels Doing business as

Other providers in Somerville, TX

All providers in Somerville, TX · Intellectual Disabilities Intermediate Care Facility in Texas

Sources for this page

Verify at the official NPI Registry.