Organization
BLUE OASIS HOME CARE AGENCY , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARONDA DENIECE SMITH (DIRECTOR)
(762) 821-5618
Entity
Organization
Contact information
Practice address
711 BRODERICK CIR, WARNER ROBINS, GA 31088-2415
(762) 821-5618
Mailing address
711 BRODERICK CIR, WARNER ROBINS, GA 31088-2415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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