Provider Demographics
NPI:1477996825
Name:OASIS FAMILY RESORT ALF
Entity Type:Organization
Organization Name:OASIS FAMILY RESORT ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-629-0915
Mailing Address - Street 1:5245 NW 73RD TER
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-6316
Mailing Address - Country:US
Mailing Address - Phone:954-900-5929
Mailing Address - Fax:954-900-5929
Practice Address - Street 1:5245 NW 73RD TER
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-6316
Practice Address - Country:US
Practice Address - Phone:954-900-5929
Practice Address - Fax:954-900-5929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12332310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility