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Organization

OASIS ADULT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN AND CHARRON MUHAMMAD (CEO/CFO)
(314) 792-4183
Entity
Organization

Contact information

Practice address
2400 N TAYLOR AVE, SAINT LOUIS, MO 63113-2502
(314) 792-4183
Mailing address
3439 BROWN RD, SAINT LOUIS, MO 63114-4329
(314) 792-4183

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
12/18/2024
Last updated
12/18/2024
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