Organization
OASIS LIFE WELL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH CANNON (OWNER)
(480) 271-3831
Entity
Organization
Contact information
Practice address
8678 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89117-4103
(480) 271-3831
Mailing address
8101 BRADLEY RD, LAS VEGAS, NV 89131-2046
(480) 271-3831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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