Healthcare Provider Details

I. General information

NPI: 1821493057
Provider Name (Legal Business Name): OASIS OPERATING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44502-2507
US

IV. Provider business mailing address

850 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44502-2507
US

V. Phone/Fax

Practice location:
  • Phone: 330-788-3038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MARK FRIEDMAN
Title or Position: MEMBER
Credential:
Phone: 917-576-1800