Organization
OASIS CONGREGATE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA R. JULIAN REGISTERED NURSE (OWNER/ADMINISTRATOR/CEO)
(909) 525-6757
Entity
Organization
Contact information
Practice address
1816 E MECED AVE, WEST COVINA, CA 91791-3645
(626) 252-6555
Mailing address
209 S. ROCK RIVER ROAD, DIAMOND BAR, CA 91765
(909) 525-6757
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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