Organization Name: | SOULAGER, INC. |
NPI Number: | 1265757520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA ANN WILLIAMS (OWNER/ADMINISTRATOR) |
Mailing Address: | 121 River Bend Dr Apt 1306 Georgetown |
State: | TX US |
Postal Code: | 786283368 |
Phone Number: | 5123314211 |
Fax Number: | 5125917202 |
NPI Enumeration Date: | 03/30/2010 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 010589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |