Amazing Grace Oasis III
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Hesperia, CA
NPI 1992486997 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1992486997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- AMAZING GRACE OASIS III
- Practice address
- 13253 Long Meadow St
Hesperia, CA 92344-9266 - Phone
- (818) 203-7779
- Fax
- (818) 925-3011
- NPI assigned
- Jul 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Arsen Andreasyan
- Title
- Ceo
- Phone
- (818) 203-7779
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
13253 Long Meadow St
Hesperia, CA 92344-9266
Mailing address
13253 Long Meadow St
Hesperia, CA 92344-9266
Phone (818) 203-7779
Other providers in Hesperia, CA
- Am Pharmacy Inc
- Yvonne Amador
- Amazing Grace Hospice Inc
- Amazing Grace Oasis
- Amazing Grace Oasis II
- Daisy Lupe Anaya
- Alexis Anderson
- Fred L Anderson
- Luisa Daniela Andrade
- Hannah Andrawis
All providers in Hesperia, CA · Intellectual Disabilities Intermediate Care Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.