Organization
THE OASIS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL MOUNKAM (ADMINISTRATOR)
(520) 270-7055
Entity
Organization
Contact information
Practice address
78 E VIA TERESITA, SAHUARITA, AZ 85629-8948
(520) 777-4547
(520) 777-4547
Mailing address
PO BOX 12065, TUCSON, AZ 85732-2065
(520) 777-4547
(520) 777-4547
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/30/2006
Last updated
08/22/2020
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