Provider Demographics
NPI:1467567362
Name:SOMA RESOURCES, INC.
Entity Type:Organization
Organization Name:SOMA RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ISELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-695-7860
Mailing Address - Street 1:2449 S WILLIS ST STE 107
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6257
Mailing Address - Country:US
Mailing Address - Phone:325-695-7860
Mailing Address - Fax:325-695-2707
Practice Address - Street 1:2449 S WILLIS ST STE 107
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6257
Practice Address - Country:US
Practice Address - Phone:325-695-7860
Practice Address - Fax:325-695-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117070315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012571OtherICF-MR
TX001012570OtherICF-MR
TX001012569OtherICF-MR
TX001012574OtherICF-MR
TX001012572OtherICF-MR
TX001012573OtherICF-MR