Organization
OASIS ASSISTED LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAD DENTON (OWNER)
(520) 624-1771
Entity
Organization
Contact information
Practice address
2721 N ORACLE RD, TUCSON, AZ 85705-4315
(520) 624-1771
(520) 629-1902
Mailing address
2721 N ORACLE RD, TUCSON, AZ 85705-4315
(520) 624-1771
(520) 629-1902
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-5167
AZ
3104A0625X
Assisted Living Facility (Mental Illness)
ALC-5167
AZ
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
ALC-5167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
938392
AHCCCS
AZ
Enumeration date
01/30/2008
Last updated
01/30/2008
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