| Organization Name: | OASIS II -SPECIAL POPULATIONS, INC. |
| NPI Number: | 1013139187 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAZIE GRAHAM (ADMINISTRATOR) |
| Mailing Address: | 2317 Prince Street Georgetown |
| State: | SC US |
| Postal Code: | 29440 |
| Phone Number: | 8435274848 |
| Fax Number: | 8435274838 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | ADC207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |