# OASIS CARE LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821298894
- **Authorized official:** MR. LESTER L KNOX JR. (CEO/ADMINISTRATOR)
- **Authorized official phone:** (602) 510-8007

## Contact information

- **Practice address:** 6917 S 11TH DR, PHOENIX, AZ 85041-6743
- **Practice address phone:** (602) 334-1303
- **Practice address fax:** (602) 535-5109
- **Mailing address:** 6917 S 11TH DR, PHOENIX, AZ 85041-6743
- **Mailing address phone:** (602) 334-1303
- **Mailing address fax:** (602) 535-5109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH2933 | AZ | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007