NPI 1225577653

Oasis at Dodge Park, LLC

Organisation Custodial Care Facility Worcester, MA

Practice location

Address: 102 Randolph Rd, Worcester, MA 01606-2465
Phone: (508) 853-8180

Authorised official

Name: Micha Shalev
Title: Manager
Phone: (508) 853-8180

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 1Q1H (MA)

Other Custodial Care Facility providers in Massachusetts →

Registry record

NPI: 1225577653
Entity type: Organization
NPI issued: 17 Feb 2017
Record last updated: 17 Feb 2017

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.