NPI | 1679739932 |
---|---|
Doing Business As | OASIS IN PARADISE |
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM FATE Owner 239-574-3024 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906254) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2008-08-05 |