Healthcare Provider Details

I. General information

NPI: 1871439190
Provider Name (Legal Business Name): MARTHA'S OASIS CARE CENTER VOLGA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W 2ND ST
VOLGA SD
57071-2023
US

IV. Provider business mailing address

125 W 2ND ST
VOLGA SD
57071-2023
US

V. Phone/Fax

Practice location:
  • Phone: 605-627-9141
  • Fax:
Mailing address:
  • Phone: 605-627-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRIS HANSEN
Title or Position: DIRECTOR
Credential:
Phone: 605-891-3765