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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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