Organization
OASIS DAY CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONA S JAGGER (DIRECTOR OF OPERATIONS)
(614) 579-6752
Entity
Organization
Contact information
Practice address
12170 SAYLOR RD NW, BALTIMORE, OH 43105-9413
(614) 579-6752
Mailing address
12170 SAYLOR RD NW, BALTIMORE, OH 43105-9413
(614) 579-6752
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305231
—
OH
Enumeration date
09/21/2022
Last updated
09/21/2022
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