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General NPI Number Information
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NPI Number | 1093690265
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Entity Type | Organization
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Legal Business Name | OASIS INDEPENDENT LIVING, LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1234 DEL ESTE AVE STE 901
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4828
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Country | US
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Telephone | 225-227-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 8340 PICARDY AVE APT 1108
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City | BATON ROUGE
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State | LA
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Zip | 70809-3790
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Country | US
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Telephone | 225-227-5218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COURTNEY DEONNE HENRY HAYES
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Credential |
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Telephone | 225-227-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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