Healthcare Provider Details

I. General information

NPI: 1962525543
Provider Name (Legal Business Name): OASIS ADULT DAY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3817 S LEWIS AVE
TULSA OK
74105-8219
US

IV. Provider business mailing address

3817 S LEWIS AVE
TULSA OK
74105-8219
US

V. Phone/Fax

Practice location:
  • Phone: 918-749-6969
  • Fax:
Mailing address:
  • Phone: 918-749-6969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberDC7202-7202
License Number StateOK

VIII. Authorized Official

Name: MARTHA RAINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 918-749-6969