Provider Demographics
NPI:1386848463
Name:OASIS FAMILY SERVICES
Entity Type:Organization
Organization Name:OASIS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-753-7815
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27828-0214
Mailing Address - Country:US
Mailing Address - Phone:252-753-7815
Mailing Address - Fax:252-753-8787
Practice Address - Street 1:7227 STANTONSBURG ROAD
Practice Address - Street 2:
Practice Address - City:FARMIVLLE
Practice Address - State:NC
Practice Address - Zip Code:27828-0621
Practice Address - Country:US
Practice Address - Phone:252-753-7815
Practice Address - Fax:252-753-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities