SOMA RESOURCES, INC.
Intermediate Care Facility, Mentally Retarded
Abilene, Texas
Provider NPI: 1467567362
Organization Information:Organization Name: SOMA RESOURCES, INC.
Practice Location:
2449 S WILLIS ST STE 107 ABILENE, TX 79605 US
Tel: 325-695-7860 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2449 S WILLIS ST STE 107 ABILENE, TX 79605 US
Tel: 325-695-7860 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 117070 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ICF-MR | 001012574 | TX | 01 |
ICF-MR | 001012570 | TX | 01 |
ICF-MR | 001012572 | TX | 01 |
ICF-MR | 001012573 | TX | 01 |
ICF-MR | 001012569 | TX | 01 |
ICF-MR | 001012571 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin