Organization
OASIS CARE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER L KNOX JR. (CEO/ADMINISTRATOR)
(602) 510-8007
Entity
Organization
Contact information
Practice address
6917 S 11TH DR, PHOENIX, AZ 85041-6743
(602) 334-1303
(602) 535-5109
Mailing address
6917 S 11TH DR, PHOENIX, AZ 85041-6743
(602) 334-1303
(602) 535-5109
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH2933
AZ
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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