MEDICARE: OASIS RESIDENTIAL CARE CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251G00000X	Community Based Hospice Care Agency
4	363LF0000X	Family Nurse Practitioner
5	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1417565821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS RESIDENTIAL CARE CORP

Provider Business Mailing Address
First Line	:	PO BOX 15591
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92175-5591
Country	:	US
Telephone Number	:	619-727-7335
Fax Number	:

Provider Business Practice Location Address
First Line	:	3865 SHIRLENE PL
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91941-7429
Country	:	US
Telephone Number	:	619-727-7335
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. RAMLA OSMAN SAHID
Credential	:
Telephone Number	:	619-727-7335

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

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Directions to “OASIS RESIDENTIAL CARE CORP ” Practice Location

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