Organization
OASIS REHABILITATION & HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE SMALL JOHNSON (OWNER)
(352) 474-8519
Entity
Organization
Contact information
Practice address
115 CASTLEMAIN CIR, DAVENPORT, FL 33897-0522
(352) 474-8519
Mailing address
115 CASTLEMAIN CIR, DAVENPORT, FL 33897-0522
(352) 474-8519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115
—
FL
Enumeration date
07/06/2022
Last updated
07/06/2022
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