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NPI Code Detail

MEDICARE: OASIS NURSING & REHAB LLC

MEDICARE: OASIS NURSING & REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1114417144
Entity Type Code : Organization
Provider Name (Legal Business Name) : OASIS NURSING & REHAB LLC
Provider Business Mailing Address
First Line : 85 HOSPITAL RD
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-4018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 HOSPITAL RD
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-4018
Country : US
Telephone Number : 718-551-1715
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : SHIMMY LEIBES
Credential :
Telephone Number : 516-588-8811
Provider Enumeration Date : 05/15/2018
Last Update Date : 12/14/2020

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Directions to “OASIS NURSING & REHAB LLC ” Practice Location

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