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NPI 1851289607

NPI 1851289607 : OASIS LIVING CARE LLC : LAKE WORTH BEACH, FL

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General NPI Number Information
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    NPI Number           |    1851289607
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    Entity Type          |    Organization 
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    Legal Business Name  |    OASIS LIVING CARE LLC 
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Dates
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    Enumeration Date     |    06/27/2025
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    1411 LAKE VICTORIA DR 
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    City                 |    LAKE WORTH BEACH
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    State                |    FL
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    Zip                  |    33461-6122
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    Country              |    US
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    Telephone            |    561-247-7796
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    Fax                  |    561-247-7796
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Provider Business Mailing Address
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    Address Line         |    1411 LAKE VICTORIA DR 
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    City                 |    LAKE WORTH BEACH
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    State                |    FL
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    Zip                  |    33461-6122
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    Country              |    US
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    Telephone            |    561-247-7796
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    Fax                  |    561-247-7796
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Authorized Official
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    Title or Position    |    OWNER/ADMIN
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    Name                 |     RAUL  PEREZ BECERRA 
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    Credential           |    
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    Telephone            |    561-713-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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