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Organization
OASIS REHABILITATION CENTER, INC.
Active
Organization
OASIS REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JANE GROSS RN, MN (PRESIDENT)
(510) 635-9705
Entity
Organization
Contact information
Practice address
47-915 OASIS ST., INDIO, CA 92201-6950
(760) 863-8600
Mailing address
47-915 OASIS ST., INDIO, CA 92201-6950
(760) 863-8600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00842
RIVERSIDE CNTY LGL ENTITY
CA
01
—
02034003
STATE DMH LICENSE NUMBER
CA
01
—
07-03013
CITY OF INDIO BIZ LIC.
CA
01
—
33DV
STATE DMH PROVIDER #
CA
01
—
33DV02
STATE DMH REPORTING #
CA
Enumeration date
01/16/2007
Last updated
01/23/2008
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