Provider Demographics
NPI:1730478132
Name:EL OASIS ALF INC
Entity Type:Organization
Organization Name:EL OASIS ALF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEYNER
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-300-0347
Mailing Address - Street 1:2806 W KIRBY ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3356
Mailing Address - Country:US
Mailing Address - Phone:813-374-9393
Mailing Address - Fax:813-374-9393
Practice Address - Street 1:6612 N HALE AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3811
Practice Address - Country:US
Practice Address - Phone:813-374-9393
Practice Address - Fax:813-374-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility