Amazing Grace Oasis
NPI #1629585856 in Hesperia, California
Provider Information
- NPI Number
- 1629585856
- Entity Type
- Organization
- Organization Name
- Amazing Grace Oasis
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 9, 2018
- Last Updated
- Jan 9, 2018
Practice Location
- Address
- 13842 LEMONGRASS WAY
- City
- Hesperia
- State
- California
- ZIP Code
- 92344-0042
- Phone
- (818) 572-3956
Authorized Official
- Name
- EILEEN ANDREASYAN
- Title
- ADMINISTRATOR
- Phone
- (818) 572-3956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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