Organization
KESHA LASHA PHILLIPS
Active
Other names
Embracing Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KESHA LASHA PHILLIPS (ADMINISTRATOR)
(979) 739-7894
Entity
Organization
Contact information
Practice address
2195 TAYLOR RD, SOMERVILLE, TX 77879-1185
(979) 739-7894
Mailing address
PO BOX 1185, SOMERVILLE, TX 77879-1185
(979) 739-7894
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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