Organization
OASIS AT DODGE PARK, LLC
Active
Other names
Oasis at Dodge Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHA SHALEV (MANAGER)
(508) 853-8180
Entity
Organization
Contact information
Practice address
102 RANDOLPH RD, WORCESTER, MA 01606-2465
(508) 853-8180
Mailing address
102 RANDOLPH RD, WORCESTER, MA 01606-2465
(508) 853-8180
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1Q1H
MA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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