Provider Demographics
NPI:1346657335
Name:OASIS UNITED TRANSFORMATION COMMUNITY
Entity Type:Organization
Organization Name:OASIS UNITED TRANSFORMATION COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBREIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-461-8685
Mailing Address - Street 1:832 NEPTUNE POINTE LN
Mailing Address - Street 2:KISSIMMEE
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5932
Mailing Address - Country:US
Mailing Address - Phone:407-435-4791
Mailing Address - Fax:
Practice Address - Street 1:832 NEPTUNE POINTE LN
Practice Address - Street 2:KISSIMMEE
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5932
Practice Address - Country:US
Practice Address - Phone:407-435-4791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management