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Organization

THE OASIS HOME II LLC

Active
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Organization

THE OASIS HOME II LLC

Active
Parent organization
THE OASIS HOME LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE OASIS HOME LLC
Authorized official
MR. EMMANUEL MOUNKAM (ADMINISTRATOR)
(520) 270-7055
Entity
Organization

Contact information

Practice address
845 W CALLE BARBITAS, SAHUARITA, AZ 85629-7907
(520) 777-5215
(520) 777-6391
Mailing address
11124 W DENIER DR, MARANA, AZ 85653-8270
(520) 270-7055

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-4044
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
182785
AHCCCS ID NUMBER
AZ
Enumeration date
06/28/2012
Last updated
06/28/2012
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