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Kesha Lasha Phillips
Intellectual Disabilities Intermediate Care Facility in Somerville, Texas
NPI 1821399403

Kesha Lasha Phillips is a Intellectual Disabilities Intermediate Care Facility based in Somerville, TX. Kesha Lasha Phillips practices in Somerville, TX. The NPI Number for Kesha Lasha Phillips is 1821399403 and holds a License No. (Texas).

The current practice location address for Kesha Lasha Phillips is 2195 Taylor Rd, Somerville, TX and can be reached out via phone at 979-739-7894.

Location: 2195 Taylor Rd, Somerville, TX, 77879-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821399403
Provider Name
Kesha Lasha Phillips
Credential
Provider Entity Type
Organization
Address
2195 Taylor Rd, Somerville, TX, 77879-1185
Phone Number
979-739-7894
Fax Number
Provider Enumeration Date
11/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2195 Taylor Rd
City
Somerville
State
Texas
Zip
77879-1185
Phone Number
979-739-7894
Fax Number
person
Provider Business Mailing Address Details
Address
2195 Taylor Rd
City
Somerville
State
Texas
Zip
77879-1185
Phone Number
979-739-7894
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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