Organization · Type 2 NPI
Kesha Lasha Phillips
Intellectual Disabilities Intermediate Care Facility · Somerville, TX
NPI number
1821399403
Active
Practice location
2195 Taylor Rd
Somerville, TX 77879-1185
Mailing address
PO Box 1185
Somerville, TX 77879-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1821399403
Kesha Lasha Phillips's National Provider Identifier is 1821399403, issued on Nov 12, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Somerville, TX. The record was last updated on Nov 12, 2010.