Kesha Lasha Phillips
NPI #1821399403 in Somerville, Texas
Provider Information
- NPI Number
- 1821399403
- Entity Type
- Organization
- Organization Name
- Kesha Lasha Phillips
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 12, 2010
- Last Updated
- Nov 12, 2010
Practice Location
- Address
- 2195 TAYLOR RD
- City
- Somerville
- State
- Texas
- ZIP Code
- 77879-1185
- Phone
- (979) 739-7894
Authorized Official
- Name
- MRS. KESHA LASHA PHILLIPS
- Title
- ADMINISTRATOR
- Phone
- (979) 739-7894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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