Provider Demographics
NPI:1265989511
Name:ISOME SERVICES LLC
Entity type:Organization
Organization Name:ISOME SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERESIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-371-0934
Mailing Address - Street 1:5605 CAPRICORN LOOP
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5771
Mailing Address - Country:US
Mailing Address - Phone:254-630-1152
Mailing Address - Fax:254-630-1153
Practice Address - Street 1:5605 CAPRICORN LOOP
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-5771
Practice Address - Country:US
Practice Address - Phone:254-630-1152
Practice Address - Fax:254-630-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-03
Last Update Date:2016-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based