Provider Demographics
NPI:1992362271
Name:OAS, LLC
Entity Type:Organization
Organization Name:OAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-454-2046
Mailing Address - Street 1:550 MAIN ST # 190
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3271
Mailing Address - Country:US
Mailing Address - Phone:612-454-2046
Mailing Address - Fax:952-679-5471
Practice Address - Street 1:1 ALDEN PL
Practice Address - Street 2:
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491-1102
Practice Address - Country:US
Practice Address - Phone:802-870-7323
Practice Address - Fax:802-222-5417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility