Organization
SC MESSAM INC.
Active
Other names
Oasis Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA REYNOLDS (PROGRAM ADMINISTRATOR)
(407) 201-3209
Entity
Organization
Contact information
Practice address
1627 EAST VINE STREET, SUITE 133, KISSIMMEE, FL 34744
(407) 201-3209
(407) 530-4795
Mailing address
1627 EAST VINE STREET, SUITE 133, KISSIMMEE, FL 34744
(407) 201-3209
(407) 530-4795
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00000000000
FL
251S00000X
Community/Behavioral Health Agency
00000000000
FL
Other
Enumeration date
09/26/2013
Last updated
11/15/2017
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