Provider Demographics
NPI:1306456108
Name:OASIS COMMUNITY SUPPORT SERVICES INC
Entity type:Organization
Organization Name:OASIS COMMUNITY SUPPORT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:THIAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-880-9006
Mailing Address - Street 1:5 PUBLIC SQ STE 210
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5599
Mailing Address - Country:US
Mailing Address - Phone:301-880-9006
Mailing Address - Fax:
Practice Address - Street 1:5 PUBLIC SQ STE 210
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5599
Practice Address - Country:US
Practice Address - Phone:301-880-9006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty