Provider Demographics
NPI:1326221029
Name:AN OASIS OF HEALING, PLC
Entity Type:Organization
Organization Name:AN OASIS OF HEALING, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLOTHILDE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CANALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-834-5414
Mailing Address - Street 1:210 N CENTER ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6600
Mailing Address - Country:US
Mailing Address - Phone:480-834-5414
Mailing Address - Fax:480-834-5418
Practice Address - Street 1:210 N CENTER ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6600
Practice Address - Country:US
Practice Address - Phone:480-834-5414
Practice Address - Fax:480-834-5418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center