| NPI | 1548047764 |
|---|---|
| Doing Business As | SAN PEDRO OASIS |
| Entity Type | Organization |
| Authorized Contact | SIMBA THIECK RUSITA Managing Director 520-535-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |