Organization
OASIS REHABILITATION AND RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE SMALL JOHNSON (OWNER)
(808) 561-4258
Entity
Organization
Contact information
Practice address
115 CASTLEMAIN CIR, DAVENPORT, FL 33897-0522
(863) 617-9121
Mailing address
115 CASTLEMAIN CIR, DAVENPORT, FL 33897-0522
(863) 617-9121
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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