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Organization
SOUTHERN OASIS LIVING LLC
Active
Organization
SOUTHERN OASIS LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN BAKER (CEO)
(727) 743-7463
Entity
Organization
Contact information
Practice address
2527 10TH AVE S, SAINT PETERSBURG, FL 33712-2021
(727) 743-7463
(727) 898-5850
Mailing address
2527 10TH AVE S, SAINT PETERSBURG, FL 33712-2021
(727) 743-7463
(727) 898-5850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5151587
FL
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
08/27/2018
Last updated
03/08/2024
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