Organization
THE OASIS OF LOVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MEDERO (VICE PRESIDENT)
(570) 972-0838
Entity
Organization
Contact information
Practice address
814 MONROE ST, STROUDSBURG, PA 18360-1744
(570) 972-0838
Mailing address
PO BOX 268, ANALOMINK, PA 18320-0268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020311430001
—
PA
Enumeration date
01/23/2007
Last updated
04/17/2012
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