Organization
HIDDEN OASIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL HENDERSON (OWNER)
(928) 273-4442
Entity
Organization
Contact information
Practice address
6081 N DODGE DR, PRESCOTT VALLEY, AZ 86314-1742
(928) 273-4442
Mailing address
6081 N DODGE DR, PRESCOTT VALLEY, AZ 86314-1742
(928) 273-4442
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
—
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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