Organization
OASIS CARE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER KNOX JR. (CEO)
(602) 510-8007
Entity
Organization
Contact information
Practice address
6434 S 17TH PL, PHOENIX, AZ 85042-4554
(602) 276-4531
(602) 305-6279
Mailing address
6434 S 17TH PL, PHOENIX, AZ 85042-4554
(602) 276-4531
(602) 305-6279
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH3436
AZ
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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