Organization
ELIM PACIFIC MINISTRIES
Active
Other names
Oasis Empowerment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHN ZIMMERMAN CSAC (EXECUTIVE DIRECTOR)
16716464601
Entity
Organization
Contact information
Practice address
556 E MARINE CORPS DR, HAGATNA, GU 96910-5186
(671) 646-4601
(671) 646-5601
Mailing address
556 E MARINE CORPS DR, HAGATNA, GU 96910-5186
(671) 646-4601
(671) 646-5601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
D-14051
GU
251C00000X
Developmentally Disabled Services Day Training Agency
D-14051
GU
324500000X
Substance Abuse Rehabilitation Facility
Primary
66--0099
GU
343900000X
Non-emergency Medical Transport (VAN)
1228019153
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OASIS1
—
GU
Enumeration date
04/23/2012
Last updated
04/23/2012
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