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Organization

OASIS OF DELAWARE LLC

Active
Other names
Oasis Of Delaware LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE ADDISON (ASSISTANT CEO)
(302) 373-1774
Entity
Organization

Contact information

Practice address
59 BROWNING CIR, MIDDLETOWN, DE 19709-1662
(302) 373-1774
Mailing address
59 BROWNING CIR, MIDDLETOWN, DE 19709-1662
(302) 373-1774

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
315P00000X
Intellectual Disabilities Intermediate Care Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
06/30/2023
Last updated
06/30/2023
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