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Organization
SC MESSAM INC.
Active
Organization
SC MESSAM INC.
Active
Other names
Oasis Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA REYNOLDS (PROGRAM ADMINISTRATOR)
(407) 201-3209
Entity
Organization
Contact information
Practice address
1627 EAST VINE STREET, SUITE 133, KISSIMMEE, FL 34744
(407) 201-3209
(407) 530-4795
Mailing address
1627 EAST VINE STREET, SUITE 133, KISSIMMEE, FL 34744
(407) 201-3209
(407) 530-4795
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00000000000
FL
251S00000X
Community/Behavioral Health Agency
00000000000
FL
Other
Enumeration date
09/26/2013
Last updated
11/15/2017
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