Organization
OASIS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINETTE NEZERWE (ADMINISTRATOR)
(207) 891-0242
Entity
Organization
Contact information
Practice address
9319 W GLENROSA AVE, PHOENIX, AZ 85037-0820
(207) 891-0242
Mailing address
9319 W GLENROSA AVE, PHOENIX, AZ 85037-0820
(207) 891-0242
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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