Organization
PARADISE OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DENICE HUFFMAN-DOUGLAS (ADN./MANAGER)
(850) 272-8576
Entity
Organization
Contact information
Practice address
25 MADISON ST, CHATTAHOOCHEE, FL 32324-1417
(850) 354-4166
Mailing address
1104 LORRAINE AVE, CHATTAHOOCHEE, FL 32324-1908
(850) 272-8576
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106002600
—
FL
01
—
AL31444
ASSISTED LIVING FACILITY
FL
Enumeration date
04/29/2019
Last updated
05/12/2022
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