Organization
OASIS WELLNESS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE BLANKENSHIP (OFFICE MANAGER)
(276) 701-7389
Entity
Organization
Contact information
Practice address
1051 CLAYPOOL HILL MALL RD STE 20, CEDAR BLUFF, VA 24609-8200
(276) 345-4688
(246) 304-4150
Mailing address
1051 CLAYPOOL HILL MALL RD STE 20, CEDAR BLUFF, VA 24609-8200
(276) 345-4688
(246) 304-4150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366193443
—
VA
Enumeration date
08/08/2024
Last updated
08/08/2024
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