NPI 1003526070
Mary's Oasis Residential Services, LLC.
Practice location
- Address
- 3713 Sunora Dr, Richmond, VA 23234-1437
- Phone
- (804) 939-1471
- Mailing address
- PO Box 42225, Richmond, VA 23224-9225
Authorised official
- Name
- Deckion Callis
- Title
- Ceo
- Phone
- (804) 728-9566
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1003526070
- Entity type
- Organization
- NPI issued
- 30 Nov 2022
- Record last updated
- 30 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.