Organization
OASIS WELLNESS NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALIMEH GLOVER RN (OWNER)
(904) 679-8812
Entity
Organization
Contact information
Practice address
2228 JUSTIN LAKE DR, JACKSONVILLE, FL 32221-3850
(904) 679-8812
Mailing address
2228 JUSTIN LAKE DR, JACKSONVILLE, FL 32221-3850
(904) 679-8812
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
246RM2200X
Medical Laboratory Technician
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/11/2022
Last updated
05/24/2022
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