| Oasis Therapeutic Services | |
|
848 Wingthorn Rose Dr Gastonia NC 28056-8087 | |
| (704) 898-2371 | |
| Not Available |
| Full Name | Oasis Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 848 Wingthorn Rose Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Razhedatequila Eunicetage Sanford (OWNER) |
| Authorized Official Contact | 7048982371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Therapeutic Services 848 Wingthorn Rose Dr Gastonia NC 28056-8087 Ph: (704) 898-2371 | Oasis Therapeutic Services 848 Wingthorn Rose Dr Gastonia NC 28056-8087 Ph: (704) 898-2371 |
| NPI Number | 1952032898 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 4880137199 |
|---|---|
| Medicare Enrollment ID | O20240614002141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952032898 | NPI | - | NPPES |
| Provider Name | Razhedatequila Eunicetage Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306374160 PECOS PAC ID: 2264874775 Enrollment ID: I20240530000384 |
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