Organization
MARY'S OASIS RESIDENTIAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECKION CALLIS (CEO)
(804) 728-9566
Entity
Organization
Contact information
Practice address
3713 SUNORA DR, RICHMOND, VA 23234-1437
(804) 939-1471
Mailing address
PO BOX 42225, RICHMOND, VA 23224-9225
(804) 728-9566
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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