MEDICARE: SONYA'S HOUSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	177F00000X	Lodging Provider
2	247ZC0005X	Clinical Laboratory Director (Non-physician)

General Provider Information

NPI Number	:	1275289969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONYA'S HOUSE INC

Provider Business Mailing Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	682-777-5943
Fax Number	:

Provider Business Practice Location Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	682-777-5943
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. NEFRINTINA RENA HAWKINS
Credential	:
Telephone Number	:	214-938-2489

Provider Enumeration Date	:	02/22/2022
Last Update Date	:	02/22/2022

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Directions to “SONYA'S HOUSE INC ” Practice Location

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