Provider Demographics
NPI:1407178783
Name:BODY-OASIS WELLNESS CARE
Entity Type:Organization
Organization Name:BODY-OASIS WELLNESS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.T.
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVOIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-422-5517
Mailing Address - Street 1:24 DEALLYON AVE
Mailing Address - Street 2:18
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-6201
Mailing Address - Country:US
Mailing Address - Phone:843-422-5517
Mailing Address - Fax:
Practice Address - Street 1:24 DEALLYON AVE
Practice Address - Street 2:18
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-6201
Practice Address - Country:US
Practice Address - Phone:843-422-5517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6367251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health